Follow-up on corrections·July 15, 2025

Citations

3 citations recorded^*CCLD

• 87411(a)Type B

  Facility personnel sufficiency and competence

  87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement was not met as evidenceew of facitliy schedule show call offs we by LPA interviews and record review. The licensee did not comply with the section cited above in that R2 became verbally aggressive with residents and staff on 7/14/25. Review covered with limited staff.

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• 87468.2(a)(4)Type B

  Right to sufficient care and qualified staff

  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 was not met as evidence by interviews conducted. The licensee did not comply with the section cited above in that the staff on duty left R1 in their wheelchair at night. This poses a potential health safety and or personal rights risk to residents in care.

• 87463(a)Type B

  Update reappraisal at required intervals

  87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement was not met as evidence by interviews conducted and record review. The licensee did not comply with the section cited above in that file review disclosed R2 has a history of anxiety/aggression. Interviews conducted disclosed R2 became verbally aggressive with residents and staff on 7/14/25. File review does not indicate R2 has had a recent needs and service plan/reappraisal completed within the last year per regulation.

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