Leisure Vale Assisted Living

87705(d) Care of Persons with Dementia(d) The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement...This requirement is not met by: Based on LPA's observation and interviews, the licensee/administrator did not comply with the section cited above by ensuring that exit doors and cameras at the front are working properly which posed a potential Health, Safety, or Personal Rights risk to persons in care.

(a) Residents of residential care facilities for the elderly shall have all of the following rights:(6) 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 is not met by: Based on LPA's observation and interviews, the licensee/administrator did not comply with the section cited above by ensuring that Resident #1's individual needs were met which posed a potential Health, Safety, or Personal Rights risk to persons in care.

Personnel Requirements: All personnel shall be given on the job training or have related experience with knowledge required to safely assist with prescribed medications. This requirement was not met as evidenced by: Based on LPA's observation and interviews, the licensee/administrator did not comply with the section cited above by providing R1 their medication everyday and/or when prescribed which posed a potential Health, Safety, or Personal Rights risk to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require...(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 specificed o (A) through (D) below.. This requirement was not met, evidenced by, based on interviews, it was revealed R1 was displaying inappropriate behavior toward female residents in Oct 2025, and the facility did not submit incident reports. This poses as a potential health and safety risk to residents in care.

80061(b) Reporting Requirements. Upon the occurrence…a report shall be made to the licensing agency..., a written report ...within seven days following the occurrence of such event.This requirement was not met as evidence by: Based on file document review, the Executive Director did not comply with the section cited above. The ED didn't submit a SIR (LIC 624) report for R2's hospitalization on 11/23/25 within seven days. This poses a potential health and safety risk to clients in care.

87303(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 requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above licensee did not ensure that the facility is in good repair in room 50 and 68 which possess an potential health, safety or personal rights risk to persons in care.

(B)General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Based on interviews and record reviews, the facility staff did not properly manage resident’s catheter care. This poses a potential risk to residents in care.

87465 Incidental Medical and Dental Care; (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health…. This requirement is not met as evidenced by. Licensee did not ensure to provide immediate emergency medical assistance to resident (R1), who appeared to be weak and vomiting. This poses an immediate health and safety risk to residents in care.

Each licensee shall furnish to the.. agency.. reports…Occurrences…which threaten the welfare,...of residents.. shall be reported within 24 hours...Licensee did not meet the requirement as evidenced by submitting the incident report not until 10/24/2024...As a reminder to the licensee, as a mandated reporter…..the administrator… has knowledge of an incident that reasonably appears to be …. financial abuse….a written report shall be sent, or an Internet report... established in Welfare and Institutions Code Section 15658, within two working days.

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: (2) To be accorded safe, healthful and comfortable accommodations This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above in two (02) out of one hundred forty three (143) residents which poses a potential Health, Safety, or Personal Rights risk to residents in care.