Aaa Royal Senior Living Facility

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: (8) To have their representatives regularly informed by the licensee....., including ongoing evaluations, as appropriate to their needs.This requirement is not met as evidenced by: Based on interviews and record review, the Licensee did not comply with the above section by failing to provide R1 and his/her authorized representative with requested information regarding care and services in a timely manner. This poses a potential personal rights risk.

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,,,,,,,This requirement is not met as evidenced by: Based on interviews and record review, the Licensee did not comply with above section by subjecting R1 to intimidation and coercive behavior during the signing of paperwork. This poses a potential personal rights risk.

87468.2 Additional Personal Rights... (a) …residents… shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications,....This requirement is not met as evidenced by: Based on interviews and record review the Licensee did not comply by interfered with R1’s authorized healthcare visit when a Home Health Nurse was prevented from completing an assessment. This poses a potential personal rights risk.

(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6) To leave or depart the facility at any time and to not be locked into any room, building or on facility premises by day or night. This requirement is not met as evidenced by: Based on interviews and LPA's observation the Licensee did not comply by restricting R1’s movement by directing R1 to remain in his/her room except for meals. LPA observed residents spending most of the day in their rooms and being directed back after meals.

Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on interviews and record reviews, conducted by LPA, the licensee did not comply with the section cited above by failing to notify CCLD regarding R1's hospitalization on 09/10/25, which poses a potential health and safety risk to persons in care.

(b) In addition to Section 87611...retain residents who require injections shall be responsible for the following: (1) Ensuring that injections are administered by an appropriately skilled professional should the resident require assistance. This requirement is not met as evidenced by: Based on record review and interview, licensee failed to ensure R1 who is unable to administer injections by self, per physician's report and had injections administered by someone other than an appropriately skilled professional, which poses an immediate health and safety risk to residents in care.

87465- Incidental Medical and Dental Care: c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on medication and hospital record reviews and interviews, licensee did not comply with the section above by not assuring that R1's prescribed medications were delivered timely and administered to R1 as prescribed. This poses an immediate health and safety risk to residents in care.

Requirements: (a) Each licensee shall furnish to the licensing agency such reports... (1) A written report shall be submitted to the licensing agency and to the person... ... any of the events specified in (A), (B) & (D)...This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above in not submitting an incident for R2's medication refusal which poses/posed a potential health, safety or personal rights risk to persons in care.

87465- Incidental Medical and Dental Care:c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions. Based on (observation) (interview) (record review)], the licensee did not comply with the section cited above innot assuring that R2's prescribed medications were given as prescribed, which poses an immediate health, safety or personal rights risk to persons in care.

87463 Reappraisals(a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate.This requirement is not met as evidenced by: Based on record review and interview during investigation, the licensee did not comply with the section cited above by not completing a resident appraisal due to changes in R1’s medical condition, which poses/posed a potential health and safety risk to residents in care.

Criminal record clearance: (e) All individuals subject to a criminal record review... (1) Obtain a California clearance or a criminal record exemption as required by the Department. Based on interview and record review, the licensee did not comply with the section cited above by hiring one (1) staff member on 09/15/2024 without fingerprint clearance, which poses an immediate health, safety or personal rights risk to persons in care.

87468.1(a)(3)Personal Rights of Residents in All Facilities....Residential care facilities for the elderly.... the following personal rights:To be free from punishment...... daily living functions..... eating, sleeping, or elimination.This requirement is not met as evidence by Based on interviews and record reviews, conducted by LPA the licensee did not comply with the section cited above by not accommodating R1 with their private room after the repair as promised which poses a potential health and safety risk to persons in care.

87465 Incidental Medical and Dental Care:c) If the resident's physician has stated in writing... 2) Once ordered by the physician the medication is given according to the physician's directions.This requirement is not met as evidenced by: Based on record reviews and interviews, licensee did not comply with the section above by not assuring that R2's prescibed medications were delivered timely and administered to R2 as prescribed. This poses an immediate health and safety risk to residents in care.