Brookdale San Ramon

Based on record review, the licensee did not comply with the section cited above in 4 out of 5 staff records review not having valid first aid which poses a potential safety and personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having food improperly stored throughout the kitchen which poses a potential health and personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in having 2 pairs of unlocked scissors in a common area unattended and stainless steel cleaner in residents available laundry rooms which poses an immediate safety risk to persons in care.

(a)The total daily diet shall ...be selected, stored, prepared and served in a safe and healthful manner.This requirement was not met as evidence by: Based on observation, the licensee did not comply with the section cited above in having improperly stored and expired food in the kitchen which poses a potential personal rights risk to persons in care.

(b)In addition .. the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry... from incontinence.This requirement was not met as evidence by: Based on interview with staff (S1-S10), the licensee did not comply with the section cited above in residents not being kept clean and dry from incontinence which poses a potential personal rights risk to persons in care.

(a) The facility shall be ...in good repair at all times...for the safety and well-being of residents...This requirement is not met as evidence by: Based on interviews the facility did not comply with the section cited above by the southside elevator going in and out of service over the last few years which poses a potential safety and personal rights risk to residents in care.

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary...of adequate services.This requirement is not met as evidence by: Based on interviews the facility did not comply with the regulation above by not providing adequete services to residents requesting assistance which posed a potential personal rights violation to residents in care.

87211(a)(1)(D) Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence …(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement is not met as evidenced by: Based on interviews and record review conducted, facility failed to report R1’s concerns regarding S8 inappropriate behavior to CCL within 7 days of occurrence which poses a potential risk to the health and safety of the clients under care. The incident was reported to S9 on 7/12/23. SOC 341 was created on 7/28/23.

Based on record review, the licensee did not comply with the section cited above in resident files being incomplete which poses a potential health, safety or personal rights risk to persons in care.

87211 Reporting Requirements(g) The licensee shall notify the Department, in writing, within thirty (30) days of the hiring of a new administrator. The notification shall include the following:(1) Name and residence and mailing addresses of the new administrator.(2) Date he/she assumed his/her position.(3) Description of his/her background and qualifications, including documentation of required education and administrator certification.(A) A photocopy of the documentation is acceptable. Based on record review conducted, Executive Director has been working at the facility since 1/15/2022 but failed to notify CCL which poses a potential risk to health and safety of clients under care.

PERSONAL RIGHTS OF RESIDENTS..(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment.This requirement was not met as evidenced by: Based on LPAs interviews, Licensee did not comply with the regulation cited above. S6 confirmed S6 did not intervene during verbal altercation between two residents which poses a potential health and safety concern to residents in care.