Sun City Gardens

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...(4)To care, supervision, and services that meet their individual needs...This requirement is not met as evidenced by: Based on interviews conducted and records review, Licensee did not provide corresponding level of care that R1 was assessed with. This posed an immediate health and safety risk to residents in care.

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 LPA observation the licensee did not ensure that the door of Memory care was in good repair. This poses a potential health and safety risk to the residents in care

(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement is not met as evidenced by:Based on LPAs observation, memory care residents' door were locked even if the resident is inside. This poses an immediately health and safety and personal rights risk to the residents in care

Care and supervision as defined in Section 87101(c)(3) and Health and Safety Codesection 1569.2(c).This requirement is not met as evidenced by:Based on LPAs interview with staff and residents, licenssee did not ensure that the facility has enough staff to perforn care and supervision to residents, this poses an immediate health and safety and personal rights risk to the residents in care.

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 evidenced by: Based on LPAs record review and interviews, licensee did not ensure that the facility has sufficient staffing to provide the necessary services, this poses an immediate health and safety risk to the residents in care.

(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement is not met as evidenced by:Based on LPAs observation, memory care residents' door were locked even if the resident is inside. This poses an immediately health and safety and personal rights risk to the residents in care

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 LPA observation the licensee did not ensure that the door of Memory care was in good repair. This poses a potential health and safety risk to the residents in care

87629 INJECTIONS:(a) The licensee shall be permitted to accept or retain a resident who requires intramuscular, subcutaneous, or intradermal injections if the injections are administered by the resident or by an appropriately skilled professional. (1) Ensuring that injections are met as evidenced by: LPA received report(s) Med Techs were administering insulin injections to three (3) residents and do not maintain a skilled professional license. This poses a potential health and safety risk to the clients in care.

Maintenance and Operation (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 LPA observed room 251 had dead bedbugs inside the closet by the baseboards and room 275 had evidence of dead insects behind the drawer and by the closet doors. Some residents corroborated the allegation and staff stated they have been addressing the pest issue which poses a potential health and safety risk to persons in care.

87465 Incidental Medical and Dental Care: (a) ... shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed.This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with resident one (R1). Medications for R1 were not administered as prescribed. This is a potential health and safety risk for R1 and other residents in care.

Care of Persons with Dementia: (c) Licensees...shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment...and a reappraisal done at least annually... This requirement was not met by: Based on record review and interview, the Licensee did not comply with the above regulation for R1. Records review revealed R1's Dementia diagnosis and their last Physician's Report is dated 08/10/20. This is a potential health and safety risk to R1.

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:(8) To be free from neglect, financial exploitation, involuntary seclusion...This requirement was not being met as evidenced by: Based on interviews conducted with staff and residents, LPA discovered that there were not enough working pagers to adequately respond to residents requests in a timely manner. This poses a immediate personal rights risk to residents in care.

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:(15) To send and receive unopened correspondence in a prompt manner.This requirement was not met as evidenced by: Based on interview, LPA found that R1 had received their mail; however, along with other residents, not in a timely fashion. This poses a potential personal rights violation to residents in care.