Royal Senior Living

(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 was not met as evidence by: R1 was not changed timely which resulted in R1 sustaining a stage 2 pressure injury on their coccyx. This poses a potential health and safety risk to residents in care.

Incidental medical and dental care 87465(a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents.This requirement was not met as evidence by: R1 was diagnosed with a stage 3 pressure injury on November 19, 2022. Staff did not notice or seek assistance until the injury was stage 3. This poses an immediate health and safety risk to residents in care.

87355 (e)(3) All individuals subject to a criminal record review... (b) shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance...This requirement is not met as evidenced by: Based on a record review Staff 7 does not have a transfer of their criminal record clearance as required by the Department. This poses an immediate health, safety and personal rights risk to residents in care.

a) Each licensee shall furnish to the licensing agency such reports... (1)(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 is not being met as evidenced by, Resident 2 suffered a fall on October 15, 2025 which required the resident to be treated at the hospital and the facility did not report the incident to the Agency (Community Care Licensing). This poses a potential health, safety and personal rights risks to residents in care.

87355(e)(2) All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department…This requirement was not met evidenced by: Based on a record review Staff 6 does not have a California clearance or a as required by the Department. This poses an immediate health, safety and personal rights risk to residents in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 2 staff members, LPA observed Staff 1 and Staff 2 did not have any current training documented, 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, LPA observed the smoke detector in each hallway (2) are not operational which poses an immediate 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 1 out of 1 residents, LPA observed R1 has a bed rail but does not have a docto's order for a bed rail, which poses/posed a potential health, safety or personal rights risk to persons in care.