High Desert Haven

a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. ***This was not met as evidenced by: During facility tour on 4/11/2026, LPAs observed the following in the assisted living building, 2 washers and 1 dryer that were inoperable, in the memory care building of the facility 1 washer and 1 dryer that were inoperable.

87219 Planned Activities(f) In facilities licensed for fifty (50) persons or more, one staff member shall have full-time responsibility to organize, conduct and evaluate planned activities, and shall be given such staff assistance as necessary in order for all residents to participate in accordance with their interests and abilities… This requirement was not met as evidenced by:Based on interviews and records review, the Licensee did not comply with section 87219 when the Activities Director was not given staff assistance to ensure activities were provided as scheduled, when the Activities Director was not available, which is a potential health and safety risk to residents in care.

87465 Incidental Medical and Dental(a) A plan for incidental medical and dental care shall be developed by each facility…(2) The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation to the nearest available medical or dental facility which will meet the resident's need. In providing transportation the licensee shall do so directly or make arrangements for this service… This requirement was not met as evidenced by:Based on interviews and records review, the Licensee did not comply with section 87465 when R1 and R2 missed scheduled appointments due to staff being unable to transport R1 and R2 to their appointments, which is a potential health and safety risk to residents in care.

Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1…residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (20)To be protected from involuntary transfers, discharges, and evictions. A licensee shall not involuntarily transfer or evict residents for reasons other than those permitted by state law or regulations and shall comply with all eviction and relocation protections for residents… This requirement was not met as evidenced by:Based on interviews and record review, the Licensee did not comply with section 87468.2 when facility staff transferred R1 to a hospital and refused to accept R1 back once R1 was discharged, which is a potential health and safety risk to residents in care.

87506 Resident Records(d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying.This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not provide the records being requested in a timely manner which poses a potential Health and Safety or Personal Rights risk to persons in care. On 11/18/2025 LPA verbally requested a printout of resident's call button log and via email on 11/25/2025. Verification was not provided until 12/10/2025.

87457 Pre-Admission Appraisal(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations.(1) The appraisal shall document, at a minimum:(A) An evaluation of the prospective resident's functional capabilities, mental condition, and social factors as specified in Sections 87459, Functional Capabilities and 87462, Social Factor.This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not properly conduct a pre-admission appraisal which poses a potential Health and Safety or Personal Rights risk to persons in care. R1 was taken to the hospital due to behaviors and staff not being able to meet R1's needs. R1 does not have a completed pre-admission appraisal and did not have a re-appraisal completed when R1 returned to the facility.

87309 Storage Space and Access(a) Except as specified in subsection, the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the regulation listed above, which poses an immediate Health and Safety or Personal Rights risk to persons in care. LPA observed an unoccupied housekeeping cart with chemicals and cleaning supplies being accessible to residents in care.

§1569.655 Increase in fee rates for elderly residents; 90 days’ written notice standing amount of reasons for increase; application of section(a) If a licensee of a residential care facility for the elderly increases the rates of fees for residents or makes increases in any of its rate structures for services, the licensee shall provide no less than 90 days’ prior written notice to the residents or the residents’ representatives setting forth the amount of the increase and the reason or reasons for the increase, including a description of the additional costs, except for an increase in the rate due to a change in the level of care of the resident.This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the regulation listed above, which poses a potential Health and Safety, Personal Rights risk to persons in care.LPA observed a letter informing residents on a rent increase which did not have a date, providing 90-day notice.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by Licensee did not ensure R1 was free from abuse due to R1 being hit by R2 causing R1 to be hospitalized, which poses an immediate health safety and or personal rights risk to residents in care.

87211 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 of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by Licensee did not submit incident reports timely. For example Licensee submitted incident reports that occurred on 09/6/25 and 09/7/25 on 09/19/25 which poses a potential health safety and or personal rights risk to residents in care.

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: staff left medication accessible during medication administration and R1 then injesting R2's medications resulting in R1 needing medical attention; which poses an immediate risk to the health, safety, or personal rights risk to the residents in care.

(b) Incidental medical care may be provided to residents through a licensed home health agency provided the following conditions are met: (4) The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). THie requirement was not met as evidenced by Licensee did not have a Home Health Care Plan or staff training for R2's restricted health condition and straff are cleaning the insertion area of the restricted health condition and R8 does not have a restricted Health Care Plan for R8's restricted health condition, which poses an immediate health safety and or personal rights risk to residents in care.

87211 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 of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was not met as evidenced by Licensee did not report R1 and R4's missed medications which poses a potential health safety and or personal rights risk to residents in care.

87464 Basic Services(f) Basic services shall at a minimum include:(1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code ection 1569.2(c). This requirement was not met as evidenced by: Licensee did not meet R1's inontinence needs and staff not responding to call lights within in a timely manner on several days in the month of June 2025 ranging from 15 minute to 1 hour 45 minutes which poses an immediate health safety and personal rights to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met by R1 and R4 not receiving several medications in the month of June 2025, which poses and immediate health safety and personal rights risk to residents in care.

(a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill by his or her physician and surgeon and who may or may not have restrictive and/or prohibited health conditions, to reside in the facility and receive hospice services from a hospice agency in the facility when all of the following conditions are met: (4) A written hospice care plan which specifies the care, services, and necessary medical intervention related to the terminal illness as necessary to supplement the care and supervision provided by the facility is developed for each terminally ill resident or prospective resident by that resident’s hospice agency and agreed to by the licensee and the resident, or prospective resident, or the resident’s or prospective resident’s Health Care Surrogate Decision Maker, if any, prior to the initiation of hospice services in the facility for that resident, and all hospice care plans are fully implemented by the licensee and by the hospice(s). This requirement was not met as evidenced by R7 not having a Hospice Care Plan indicating care needed which poses a potential health safety and personal rights risk to residents in care.

Based on observation, the licensee did not comply with the section cited above in medications unlocked and accessible to Resident 2 despite Physicians report documenting they are not to administer own medications, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in Resident 4 does not have required hospice care plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in LPA's observed water in Resident 3's bedroom measured to be 130 degrees, which poses an immediate health, safety or personal rights risk to persons in care.

87625 Managed Incontinence(a) The licensee shall be permitted to accept or retain a resident who has a manageable bowel and/or bladder incontinence condition under the following circumstances: The following requirement has not been met as evidenced by: Resident 1 was not assisted timely with incontinent care, which poses a potential, health, safety, or personal rights risk to residents in care.

87464 Basic Services (a) The services provided by the facility shall be conducted so as to continue and promote, to the extent possible, independence and self-direction for all persons accepted for care. Such persons shall be encouraged to participate as fully as their conditions permit in daily living activities both in the facility and in the community. The following requirement has not been met as evidenced by: Resident 1 was not showered after which poses a potential, health, safety, or personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. The following requirement has not been met as evidenced by: Resident 1 was not given several doses of medication on 06/13/2024, which poses an immediate, health, safety, or personal rights risk to residents in care.