The Terraces at Via Verde-a Memory Care Community

87463 Reappraisals.(b)The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. (1) Significant changes in condition, as defined in Section 87101,....This requirement is not met as evidenced by: Based on interviews and record reviews, the licensee did not comply with the section cited above in which the staff failed to address and document R1’s change in medical condition which poses a potential health, safety or personal rights risk to residents in care.

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, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4) 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 as evidenced by: Based on interviews, records review conducted by Investigator Hector, the licensee did not comply with the section cited above in which due to lack of care and supervision, R1 sustained a left hip fracture as a result of a fall while under the care of the facility which poses an immediate health, safety or personal rights 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: (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 specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident..This requirement is not met as evidenced by: Based on interviews, records review conducted by Investigator Hector, the Licensee/Administrator did not comply with the section cited above in which the facility failed to report and send all incidents involving R1’s falls to CCL which poses a potential health, safety or personal rights risk to residents in care.

87465(a)(4)Incidental Medical and Dental CareA plan for incidental medical...The plan shall encourage routine medical ...care and provide for assistance in obtaining such care... (4) The licensee shall assist residents with self-administered medications as needed.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 that R1’s morning medication were not administered on 09/01/25.

Based on record review, the licensee did not comply with the section cited above in that R1’s Levothyroxine Sodium 75 mcg has not been filled and was last administered on 8/25/25, as well as R2’s Hyoscyamine sulf 0.125mg PRN has not been filled, 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 in that rooms 110, 115, and 210 had oxygen tanks in the rooms but no signs of "No Smoking-Oxygen in Use" signs were observed outside the resident room door or in appropriate areas, 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 that rooms 101, 106, 107, 111, 114, 202, 210, 216, 217, 219 beds did not have mattress pads, which poses 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 that Executive Director Subishsani Kumar was hired on 4/15/25 and Licensee failed to report changes to CCL within 30 days. This poses a potential health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that R6's last medical assessment is dated 7/28/2023, which poses a potential health, safety or personal rights risk to persons in care.

87705 Care of Persons with Dementia. (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. LPA observed R#1s medication unlocked in R3!'s room

87705 Care of Persons with Dementia. (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s) LPA observed scissors, shaving razors and perfumes, deodorants and other hygiene items unlocked in R#1's bathroom cabinet. Per R1's Physicians Report, R#1 is at risk at allowed direct access to personal grooming and hygiene items.

87468.2 Additional Personal Rights of Residents...: (a)... All Facilities...(4) 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 as evidence by: Based on records reviewed licensee did not ensure staff notified the correct physician of R1’s change in condition which poses a potential risk to the persons health, safety, or personal rights of the persons in care.

1569.69 of the Health and Safety Code. It requires direct care staff in RCFEs, excluding licensed medical professionals, to meet specified training requirements, including passing an examination, in order to be able to assist residents with the self-administration of medications. It does not authorize unlicensed personnel to directly administer medications.This requirement was not met as evidence by: Based on observation, interview and record review, the licensee did not comply with the section cited above in that two (2) Staff administered insulin to resident #1 without a license to administer medications, 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. Facility did not have enough 7 day Non perishable food which poses/posed a potential health, safety or personal rights risk to persons in care.