Studio Royale

Based on (observation) and (record review), the licensee did not comply with the section cited above in [3] out of [6) persons did not have current First Aide Certificate on file at time of visit, which poses/posed a potential health, safety or personal rights risk to persons in care.

Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2)Obtain a California clearance or a criminal record exemption as required by the Department Based on observation and interview, staff Neyba Padilla was not associated to the facility as the time of unannounced complaint investigation which poses an immediate health, safety or personal rights risk to persons in care.

87405(b)(2) Administrator-Qualifications and Duties. (b) The administrator of a facility or facilities shall have the responsibility and authority to carry out the policies of the licensee. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. This requirement was not met as evidenced by:Based on interview and record reviews the administrator failed to adhere to Title 22 regulations, resulting to multiple citations. This violation poses a potential health and safety to residents in care.

87211-(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(D) Any incident which threatens the welfare, safety or health of any resident...abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by:Based on interviews and record reviews, the Licensee failed to report incidents involving (R1's) health and safety welfare. This violation poses a potentinal health and safety risk to residents in care.

87224(B) Resources available to assist in identifying alternative housing and care options... 1. Referral services that will aid in finding alternative housing. 2. Case management... help manage individual care and service needs. (f) A written report of any eviction shall be sent to the licensing agency within five (5) days. This requirement was not met as evidence by:Based on interviews and record reviews, the Licensee failed to issue a valid eviction notice in compliance with Title 22 Regulations. This violation poses a potential health and safety risk to residents in care.

87217(b) Safeguards for Resident Cash, Personal Property, and Valuables. Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff…This requirement was not met as evidenced by: Based on interviews, the administrator did not comply with this section. The facility failed to properly safeguard residents’ personal property because another resident in the facility was stealing their items, which poses a potential health risk to residents in care.

Maintenance and Operation. 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 documentation and interviews, the facility had roaches. LPA reviewed pest control invoices and observed that the facility had an ongoing issue with roaches in the month of October 2022 that were being treated by Dewey Pest Control bi-monthly to eradicate and control future infestations, which poses a potential health risk to residents in care.

Personal Rights of Residents in All Facilities (a)Residents in all residential care facilities for the elderly shall have all 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 records reviewed the facility failed to provide a safe and healthful environment for resident by allowing another resident to hoard food, boxes, and empty bottles in their room, which poses a potential health risk to residents in care.

87468.1(a)(3) 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. This requirement is not met as evidenced by: Based on interviews of staff and residents, the licensee failed to ensure a resident's personal rights due to a residents abusive and harassing behavior towards other residents, which poses a potential health risk to residents in care.

87465 Incidental Medical and Dental Care6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement was not met as evidenced by:Based on interviews and records reviews, the facility staff failed to make accurate records for prescribed medications for (R3). This violation poses a potential health, safety, or personal rights risk to persons in care.

(f)(4) Movable bins when used for storing or transporting solid wastes from the premises shall have tight-fitting covers on the containers; shall be in good repair; and shall be rodent-proof unless stored in a room or screened enclosure. Based on observation and interview S#2 did safe and good repair facility, making it accessible to all residents which poses an immediate health, safety, and personal rights risks to persons in care.

(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. Based on observation and interview S#2 did safe and good repair facility, making it accessible to all residents which poses an immediate health, safety, and personal rights risks to persons in care.

87465.2 Personal Rights of Resident 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 requirement was not met as evidenced by: Based on observation and interview, failed to provide a safe and comfortable accomodations to (R1) & (R2). This citation poses a potential health and safety 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: (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Based on observation and interview, the licensee failed to report the disrepair AC for (R1's) apartment to CCLD. This citation poses a potential health and safety risk to residents in care.

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator...The administrator shall have ... other responsibilities and shall be on the premises enough hours to permit adequate attention to the management and administration of the facility as specified in this section... This requirement was not met as evidenced by: Based on observation and interview, the licensee did not have an authorized administrator on file with CCLD. This citation poses a potential health and safety risk to residents in care.

87411 - Personnel Requirements, General(d)All personnel shall be given on the job training or have related experience in the job assigned to them. This training../..experience shall provide knowledge of..in the following, as appropriate for the job assigned..as evidenced by safe..effective job performance:(5)Knowledge necessary..recognize early signs of illness and the need for professional help. This requirement was not met as evidenced by:Based on record reviews and interviews conducted, the Licensee failed to ensure that staff have the knowledge necessary in order to recognize early signs of R1’s illness and the need for professional help, which poses a potential health, safety and personal rights risk to persons in care.

87466 - Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental…observation reveals unmet needs. When changes such as..losses or deterioration of mental ability..are observed, the licensee..are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.This has not been met as evidenced by: Based on record reviews and interviews conducted, the Licensee failed to ensure that changes to residents are documented and brought to the attention of the resident's physician and the resident's responsible person which poses a potential health, safety and personal rights risk to persons in care.

87307 (d) (2) Personal Accommodations and ServicesThe premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. LPA Bunker observed the first-floor public restrooms and two of the toilets were non-operational. Notice posted on both restrooms doors out of service.This violation poses a potential health risk to residents in care.

87303 (a) Maintenance and OperationThe 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. On 11/03/2021 AMEN Pest Control indicated initial roach cleanout for units 157, 257, 159, and on 08/05/2021, 09/02/2021, and 10/07/2021, there were flies in the facility kitchen, dining room, and one bathroom.Which poses a potential health, safety, or personal rights risk to residents in care

87465 Incidental Medical and Dental Care:(c) (1) Once ordered by the physician the medication is given according to the physician's directions. (3) A record of each dose is maintained in the resident's record.The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by:Medication records were observed. R1 did not receive Pradaxa medications as prescribed by her physician on 12/13/2021-12/15/2021This violation poses an immediate health and safety risk to residents in care.