Park View Estates

87303(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 observation, interviews, and record review, the facility failed to comply with the section cited above in two out of two kitchen appliances, which poses a potential risk to persons in care. Interviews and record review revaled the dishwasher was leaking for at least one week and LPA observed a freezer in disrepair during the visit.

Eviction Procedures -The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty days written notice to the resident is required...This requirement was not met as evidenced by: Based on interviews and records review, the facility issued an eviction notice without complying with Title 22 regulations, including the requirement to provide information about available resources for the resident and the right to file a complaint with the Licensing Agency. This poses an immediate health, safety, and personal rights risk to residents in care.

878464 Basic Services: (f) 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 is not met as evidenced by: Based on LPA record review and interviews with residents and staff, pendant call times were not responded to in a timely manner. This poses and immediate health and safety risk to persons in care.

Per CCR 87468.2(a)(4) on Additional Personal Rights of Residents in Privately Operated Facilities, residents are entitled: "To care, supervision, and services that meet their individual needs". This requirement is not met as evidenced by: Based on the reviewed plan of care, the investigation evidenced insufficient catheter care provided to R1 by facility staff. This constitutes a potential risk to the health, safety and personal rights of individuals in care.

87303 Maintenance and Operation(a) The facility shall be... safe,... 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 evidenced by: Based on LPA's observations, interviews, and record review, the elevator is currently malfunctioning which poses a potential Health, Safety, or Personal Rights risk to persons in care.

87303(b)-Maintenance and Operation :(b) A comfortable temperature for residents shall be maintained at all times. This requirement was not met as evidenced by: On or about 3:10pm while conducting interviews with residents in Activity room, LPA Quiroz observed temperature in activity room to be 80 degrees fahrenheit and observed temperature gage to be locked. At 3:20pm, Temperature was observed to increase to 82 degrees Fahrenheit, this was verified with Activity Director who indicated "Temperature is controlled from Marketing not here." On or about 3:55pm, Maintenance Director CONT...

Staff training; legislative findings; contents. The department shall adopt regulations to require staff members...who assist residents with personal activities of daily living to receive appropriate training. This requirement is not met as evidenced by: based on interview and record review the licensee did not ensure staff received training pursuant to statute and regulation. This poses a potential risk to the health & safety of residents in care.

87755(b):Inspection Authority of the Licensing Agency(b) The licensee shall ensure that provisions are made for private interviews with any resident or any staff member;... facility. This requirement was not met as evidenced by: CONTINUED BELOW Baed on interview conducted with Luis Serrano, Chief Executive Officer (CEO). CEO Serrano approached LPAs Quiroz and Ramirez admitting to listening to private interview with Staff 1 (S1).

87211(a)(2)Reporting Requirements:(a)Each licensee shall furnish to the licensing agency such reports...(2)Occurrences, such as epidemic outbreaks...shall be reported within 24 hours either by telephone or facsimile to the licensing agency and to the local health officer when appropriate. CONTINUED BELOW This requirement was not met as evidenced by: (ED) Fike indicated "Too much going on and it escaped me to report to CCLD." This poses a potential risk for residents in care.

Basic Services-87464(f)(1):Basic Services at a minimum shall include care and supervision. Care and supervision means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety CONTINED... or welfare would be endangered. This requirement was not met as evidenced by: On 1/12/22, Memory Care Director assessed (R1) for potential falls based on the fall assessment dated 12/10/21, and required fall monitoring. The facility staff failed to accurately assess and provide timely medical treatment for (R1). CONTINUED...

Care of Persons with Dementia 87705(c)(4). There is an adequate number of direct care staff to support each resident’s physical…safety and health care needs as identified in his/her current appraisal This requirement was not met as evidenced by: Based on interviews, the facility failed to CONTINUED... ensure that facility staff follow protocol to support each resident’s physical, safety and health care needs as identified in current appraisal. The facility failed to have appropriate supervision to ensure that (R1) was observed and provided timely medical treatment after reported falls. Interviewees reported CONTINED...

87468.1 (a)(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:(1)To be accorded dignity in their personal relationships with staff, residents, and other persons.CONT BELOW... This requirement is not met as evidenced by: Based on videos reviewed and interviews conducted, the licensee failed to ensure R1’s personal right were not violated as on 9/30/21, S1 was observed yanking on R1’s extremities and shoulder while assisting with ADLs. CONTINUED NEXT SECTION...

87355(e)(2) Criminal Record ClearanceAll 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: Request a transfer of a criminal record clearance as specified in Section 87355(c). CONTINUED BELOW... This requirement is not met as evidenced by:Based on records reviewed, the licensee failed to ensure S1’s criminal record clearance was transferred to the facility for associated. This poses an immediate safety risk to persons in care. AN IMMEDIATE CIVIL PENALTY OF $500 IS ASSESSED.

87412(a) Personnel Records:The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information...This requirement is not met as evidence by: CONTINUED BELOW Based on interviews conducted, the licensee failed to ensure S1’s personnel records were retained on site. This poses a potential safety risk to persons in care.

87465(a)(2) Incidental Medical and Dental Care:The licensee shall provide assistance in meeting necessary medical and dental needs. This includes transportation which may be limited to the nearest available medical or dental facility which will meet the resident's need. This requirement is not met as evidence by: CONTINUE BELOW... Based on video reviewed, the licensee failed to meet medical needs of residents after failing to seek medical attention after R1 was observed continuously yelling in pain while being assisted by S1. R1 was transported to the hospital via their responsible party two days later. CONTINUED NEXT SECTION...

Based on observation and interview, the licensee did not comply with the section cited above in 10 out of 10 resident rooms which poses an immediate health, safety or personal rights risk to persons in care. The hot water measured ranged from 125.2 degrees Fahrenheit to 138.0 degrees Fahrenheit which was verified by HSD Mariona.