Atria Newport Beach

87469(c)(1)Advanced Directives and Requests Regarding Resuscitative Measures(1) Immediately telephone 9-1-1, present the advance directive and/or request regarding resuscitative measures form to the responding emergency medical personnel... This requirement is not met as evidence by:2 of 5 staff confirmed that emergency services were not given necessary documentation until they were leaving the facility with R1. This poses a potential health, safety, or personal rights risks to persons in care.

87469(c)(1)Advanced Directives and Requests Regarding Resuscitative Measures(1) Immediately telephone 9-1-1, present the advance directive and/or request regarding resuscitative measures form to the responding emergency medical personnel... This requirement is not met as evidence by:2 of 5 staff confirmed that emergency services were not given necessary documentation until they were leaving the facility with R1. This poses a potential health, safety, or personal rights risks to persons in care.

87468.1(b)(8) Personal Rights of Residents in All Facilities (8) ... Provide medical or nonmedical care to the resident in a manner that... unduly demeans the resident’s dignity...This requirement is not met as evidence by: 1 of 5 staff performing chest compressions when R1 had a DNR in place and did not stop until emergency personnel informed them of the DNR. This poses a potential health, safety, or personal rights risk to persons in care.

Basic Services: Basic services shall at a minimum include: (1)Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by: Based on interviews and records reviewed R1 exited the Memory Care through a delayed egress door, left the facility unassisted and was found at a local Elementary School. This poses an immediately health, safety or personal rights risk to persons in care.

Per CCR Section 80078(a) regarding the Responsibility for Providing Care and Supervision: "(a) The licensee shall provide care and supervision as necessary to meet the client's needs".This requirement was not met as evidenced by: Based on interviews and records reviewed, resident R1 was assessed to be unable to leave the premises unassisted and was unsupervised for approximately 2.5 hours outside the facility. This constitutes an immediate rsisk to the health, safety and personal rights of residents in care.

Licensees shall maintain in the personnel records verification of required staff training and orientation. This req is not being met as evidenced by: Based on record review, Licensee failed to ensure verification of staff records are in the file. This poses a potential health and safety risk to residents in care.

In addition to the rights listed in Section 87468.1.., residents in privately operated residential facilities... shall have the following rights: To have a reasonable level of personal privacy in accommodations... personal care assistance, visits, communication, telephone conversations, internet,. This requirement is not being met as evidenced by: Based on interview and observation, Licensee failed to ensure R1 was provided a reasonable level of privacy. R1's family posted a ring video camera in R1's room. There was no signage alerting that video taping was occurring. This poses a potential health and safety risk to residents in care.