Del Mar Park

(e) All individuals subject to a criminal record ...(b) shall prior to working, residing or volunteering in a licensed facility:(3) Request a transfer of a criminal record clearance

87468.2 Additional Personal Rights of Residents....(a) In addition to the rights listed in Section 87468.1, Personal Rights...in privately operated residential care facilities for the elderly shall have all of the following personal rights: (15) To reasonable accommodation of their preferences concerning room and roommate choices.This requirement is not met as evidenced by: Based on interviews, records review, the Administrator did not comply with the section cited above in which the staff failed to follow R1’s care plan to accommodate a prescribed adjustable bed for medical reasons, and did not provide important details about the new accommodation including room and roommate choices which poses a potential health, safety or personal rights risk to residents in care.

87468.2 Additional Personal Rights of Residents...(a) In addition to the rights listed in Section 87468.1, Personal Rights of..residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (16) To written notice of any room changes...30 days in advance unless a room change is agreed to by the resident......This requirement is not met as evidenced by: Based on interviews, records review, the Administrator did not comply with the section cited above in which the staff did not provide R1 of the room change notice 30 days in advance which poses a potential health, safety or personal rights risk to residents in care.

87411 Personnel Requirements - General (d) All personnel shall be given ... shall provide knowledge of and skill in the following, ..: (3) Skill and knowledge required to provide,... including the ability to communicate with residents.This requirement is not met as evidence by: Based on interviews conducted licensee did not ensure staff are able to communicate wtih residents in care which poses a potential risk to the health, safety, or personal rights of the persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facility (a) In addition...shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility.This requirement is not met as evidence by: Based on interviews and documents reviewed licensee did not ensure admission agreement for R1 was followed and was moved before notice day which poses an immediate risk to the health, safety, or personal rights of the persons in care.

Based on observation and record review, the licensee did not comply with the section cited above in resident #5 did not have physician's bed rail request on file which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in last fire drill was provided on 2/8/24 per records reviewed which poses/posed a potential 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 in resident #2 and #4 have dementia and facility's exit door do not have an alert feature or auditory device to notify at exits 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 in water temperature was tested between 131.0 - 135.5 degrees F., in resident's bathrooms which is not within 105-120 degrees F., which poses an immediate health, safety or personal rights risk to persons in care.

87411 Personnel Requirements - General: (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met as evidence by: Based on interviews conducted and document review licensee did not ensure that R1 received the correct medication by giving R1 medication that belong to R2 which poses an immediate risk to the health, safety, or personal rights to residents in care.

Based on observation, the licensee did not comply with the section cited above in The courtyard patios were observed with three uneven cracks on the ground of about 1.5 - 2ft in length. 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 in water temperature tested as follow in RB #222 water temperature tested at 124.0 degrees F., RB#233 tested at 123.4 degrees F., RB 231 tested at 98.8 degrees F., and RB#206 tested at 100.9 degrees F. which poses an immediate health, safety or personal rights risk to persons in care.

General Food Service Requirements. Modified diets prescribed by a resident’s physician as a medical necessity shall be provided.This requirement was not met evidenced by: Based on record review, resident (R1's) Physician's Report states the resident requires a diabetic diet. However, R1 was not being served a diabetic diet, and had not been added to the restricted diet list; which poses a potential health and safety risk to persons 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 evidenced by: Based on interviews conducted, resident (R1's) bathroom grab bars were loose and not fixed in a timely manner, which poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in1 out of 8 resident rooms observed, room #123 water temperature tested at 121.4 which poses an immediate 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 requirement is not met as evidence by: Based on interviews and document review conducted licensee did not ensure that all staff are practicing safety precautions by keeping face mask while providing care and staying home when symptomatic which poses a personal rights, health, or safety risk to the residents 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 requirement is not met as evidence by: Based on observation facility did not ensure staff wear face mask properly. LPA observed S1 open facility's door wearing face mask under chin and did not screened LPA for COVID, and S2,S3 wearing face mask under chin around residents will poses an immediate Health, Safety, or Personal Righst risk to persons in care.

87507 Admission Agreements: (g)... shall ..: (5) Refund conditions. (c) A refund of any fees paid in advance...after the resident’s personal property has been removed...shall be issued ... if ... resident paid the fees, ... within 15 days after the personal property is removed.This requirement is not met as evidence by: Based on file review and interview facility did not issue total refund amount to R1's responsible party. Total amount to reimburse was $2907.50 amount reimbursed and posted on 4/20/20 $2555.77. A total of $351.73 owe to R1's responsible party which poses a potential Health, Safety, or Personal Rights risk to persons in care.