Bentley Suites

87303(a) Maintenance and Operation (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 was not met as evidence by: Based on observation, interviews conducted, and record reviewed, Licensee did not ensure elevator was accessible to residents in care upon returning to the facility after the evacuation. This poses a potential health and safety risk to all residents in care. The facility has a proposal from Liftech Elevator Services, INC., and is in the process of reviewing the proposal and estimated costs.

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:This requirement was not met as evidenced by: LPA observed camera in R1's room during the inspection which violates rights of the resident.

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,..following personal rights: (19)To have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days and at a cost that does not exceed the community standard for photocopies.This requirement was not met as evidence based on interviews and record reviews. The licensee did not ensure Resident R1's representitive received copies of documents requested.

87506 - Resident Records(c) All information and records...shall be confidential.(1)The licensee shall be responsible for...inactive records...confidentiality of their contents. The licensee..shall make available to...designated representative. This has not been met as evidenced by:The licensee failed to produce any response to a resident's authorized representative (AR) between the dates of 03/05/25-04/02/25.

87208 Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49.This requirement was not met as evidence by: Based on a review of records from new proof submitted to the department and the facility plan of operations, the facility staff failed to refill (R#1) medications. This poses a potential health and safety risk to all residents in care.

1569.153 Theft and loss program; standards, property inventories and surrender of personal effects; secured areas (d) A written resident personal property inventory is established upon admission and retained during the resident's stay in the residential care facility for the elderly. Inventories shall be written in ink, witnessed by the facility and the resident or resident's representative, and dated. A copy of the written inventory shall be provided to the resident or the person acting on the resident's behalf. All additions to an inventory shall be made in ink, and shall be witnessed by the facility and the resident or resident's representative, and dated.This requirement was not met as evidence by: Based on a review of records and interviews of (R#1-R#4), the facility staff failed to ensure residents personal belongings list was not created upon their admissionsThis poses a potential health and safety risk to all residents in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

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, furnishings and equipment.This has not been met as evidenced by:Licensee has yet to repair the lift which would allow non-ambulatory resident(s) to freely travel from the second story of the facility to the ground floor.

87705 care of persons with dementia (k) The fol requirements must be met... doors and perimeter fence gates. (8) delayed agress devices shall not substitute for trained staff... This requirement was not met as evidenced by: Based on LPA observations, interviews conducted and records reviewed the licensee failed to ensure that the delayed egress did not substitute for trained staff, which poses an immediate health and safety risk to clients in care.

87466 Observation of the Resident: The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses..This requirement was not met as evidenced by: Based on LPA observations, interviews conducted and records reviewed the licensee failed to ensure that the resident weight loss was not monitored which poses an immediate health and safety risk to clients in care.

87303(f)(1-2) Maintenance and Operation(f)Solid waste shall be stored and disposed of as follows: (1)Solid waste shall be stored, located and disposed of ...transmission of a communicable disease or of odors, create a nuisance, provide a breeding place or food source for insects or rodents. (2)Syringes and.. with the California Code of Regulations, Title 8, Section 5193 concerning bloodborne pathogens. Based on observation, and interview, the licensee did not comply with the section cited above in, screens in despair, accessibility, and drywall, which poses a potential health, safety or personal rights risk to persons in care.

87303 (a-e) Maintenance and Operation(a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision... the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition…(c) All window screens shall be clean and maintained in good repair. (d)There shall be...the use of each room and sufficient to ensure the comfort and safety of all persons in the facility. (e)Water supplies and.... maintained as follows: (1)All community care facilities where water for human consumption is from a private… Based on observation, and interview, the licensee did not comply with the section cited above in, flammable grasses, no access door to side of facility, pigeons and pigeon cages, and flies and insects, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, record review, the licensee did not comply with the section. Resident #4 who is bedridden is in a ambulatory room 7A not cleared for bedridden room. The licensee is operating beyond the conditions and limitations specified on the license. This violation 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. LPA identified room #19 bathroom baseboards had rust/mold and need to be replaced. This violation 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. LPA identified funiture, mattress, wheelcair and other furnishing supplies obstructing passage way adjacent to room #10. Staff indicated this furnishings have been blocking passage way for several days. This violation 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. LPA identified open powder bleach under bathroom sink accessible to dementia residents in care in room #7. This violation 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. LPA identified room #1 & 2 had hot water temperature range at 161.2 -165.9 degree F. This violation which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified the facility had not conducted a recent quarterly fire drill. The last drill was completed in June 2023. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Type A: HSC 1569.605 – Liability insurance… all residential care facilities for the elderly … shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement was not met as evidenced by:Based on liability insurance records reviewed, interviews conducted with Administrator and relevant witnesses, it was determined that the licensee did not have required liability insurance coverage for 08/26/2022 to present which poses an immediate safety risk to residents in care.

87303 Maintenance and Operation.(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 interviews, observations and records the licensee failed to provide CDSS with a addendum to the facility plan of operation and failed to control the movement of 30 pigeons or clean the pigeon fecies. This poses a potential health & safety risk to residents in care.

87224 Eviction ProceduresThe licensee shall, in addition to either serving the required thirty (30) days notice , sixty (60) days notice or seeking approval from the Department and service three (3) days notice on the resident, notify or mail a copy of the notice to quit to the resident's responsible person. Resident 1 was issued an eviction notice on 11/29/2022, however, the facility failed to submit a copy of the 30-Day Eviction notice with reasoning for eviction to the Community Care Licensing office as required by Title 22 Regulations.The violation poses a potential health and safety risk to residents in care.