1440 by the Bay

(c) All information…shall be confidential. (1) The licensee shall…and all employees shall…make available…information…upon …written consent…his designated representative. Based on interview, licensee did not provide requested documents to requesting party.

87465 Incidental Medical and Dental Care(g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by staff there were no records of an x-ray done and R1 did not go to the ER until 11/6/2020, approximately 10 days after the bruise was first observed, which posed a potential health & safety risk to resident in care.

The licensee shall set forth in the notice to quit the reasons relied upon …. (1)The notice to quit shall include the following information:(B) Resources available to assist in identifying alternative housing and care options which include…This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above by serving R1 with an eviction notice that did not contain all items required under regulation, which poses a potential health and safety and personal rights risk to persons in care.

For any rate increase due to a change in the level of care ... the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase … a detailed explanation of the additional services ... This requirement is not met as evidenced by: Based on interview and record review the licensee did not comply with the section cited above by not providing the resident and the resident’s representative, if any, written notice of the rate increase within two business days

Personal Rights of Residents in Privately Operated Facilities(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (16) written notice of any room changes at least 30 days in advance unless a room change is agreed to by the resident, required to fill a vacant bed, or necessary due to an emergency. This requirement was not met as evidenced by staff relocating conserved resident from assisted living to memory care prior to securing proper authorization from conservator which posed a potential health & safety risk to resident in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidenced by… Based on record reviewed and interview, licensee did not comply with the section cited above. Staff didn't respond timely to egress door alarm going off when resident exited to stairway and resulted resident injury which poses an immediate health, safety risk to persons in care.

87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(5) Each resident with dementia shall have an annual medical assessment....This requirement is not met as evidenced by… Based on record reviewed and interview, licensee did not comply with the section cited above. Residents with dementia didn't have updated physician's report on file which poses an potential health, safety risk to persons in care.