Alta Vista Gardens

Document behavioral expression and related causes

Based on LPA record review, the licensee did not comply with the section cited above in six out of six resident record files which poses/posed a potential health, safety or personal rights risk to persons in care.

A licensee who fails to comply with this section may be liable for civil penalties in an amount not to exceed one hundred dollars ($100) for each day of the failure to provide notification required in this section. The total civil penalty shall not exceed two thousand dollars ($2,000). If a resident is relocated without the notification required by this section, and suffers transfer trauma or other harm to his or her health or safety, the department may also suspend or revoke the licensee's license and issue a permanentrevocation of the licensee's ability to operate or act as an administrator of a facility anywhere in the state. Suspension or revocation proceedings pursuant to this subdivision shall be conducted in compliance with Section 1569.51. Based on record review, the licensee failed to notify the residents and the department of bankruptcy filing, which poses an immediate health and safety risk to residents in care.

A licensee shall notify the department, the State Long-Term Care Ombudsman, all residents... in writing, within two business days, of any of the following events, or knowledge of the event: (3) The licensee files for bankruptcy.This requirement is not met as evidenced by: Based on record review, the licensee failed to notify the department when they filed for bankruptcy, this poses an immediate health and safety and personal rights risk to the residents in care.

Acceptance obligations tied to pre-admission appraisal needs

87464 Basic Services-(d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified and providing...other basic servies...either directly or through outside resources. This requirement was not met as evidenced by: Resident #1 (R1) had a change in condition and it was not documented and additional services were provided. This poses a potential health and safety risk to residents in care.

Safe, healthful, comfortable accommodations

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: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement has not been met as evidenced by Prior to R2 assaulting R1 on 11/26/19, R2 was also involved in another assault with R1 on or around 11/23/19. Licensee failed to notify DHS of R2’s behavior, which could have helped in taking steps to prevent another assault from happening.

Arrange appropriate medical and dental care

Incidental Medical and Dental Care: 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: The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement has not been met as evidenced by: The licensee failed to make a follow up appointment with R1’s primary doctor who instructed them to do so after being treated for an edema. Cont.

Arrange appropriate medical and dental care

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility… provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging, for medical …care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by; The licensee did not develop an incidental medical care for C1. C1 was not receiving O2 treatment as prescribed. This poses an immediate health and safety risk to clients in care.