Skypark Manor

Maintain facility in clean, safe, sanitary condition

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 was not met as evidence by: based on observation: The Licensee did not ensure to keep the facility clean, sanitary and free of pest for the well-being of the residents in care. This posed an immediate health and safety risk to residents in care.

Maintain facility in clean, safe, sanitary condition

87303 (a) Maintenance and Operation: 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 was not met as evidence by: Based on interviews and observation, the Licensee did not ensure the facility was sanitary and safe for residents in care. The facility has a pest/cockroach problem. This poses a potential health and safety risk to residents in care.

Safe, healthful, comfortable accommodations

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall ... (2) ... be accorded safe, healthful and comfortable accommodations ... This requirement was not met as evidenced by record review and interviews in which it was learned that dementia resident, R1, has often tried to enter other resident rooms. On 12/17/2025, resident 2, R2, pushed R1 when they attempted to go into R2's room. Per staff interviews, R1 has been in the hospital for 10 days and has a bone fracture. This poses an immediate/potential health and safety risk to residents in care.

Certified administrator requirements and substitute coverage

87405 Administrator - Qualifications and Duties (a) ...The administrator shall have sufficient freedom from other responsibilities ... on the premises a sufficient number of hours ... coverage by a designated substitute ... qualifications adequate to be responsible and accountable for management and administration. Based on observation, interview, and record review, the administrator did not ensure enough oversight to ensure the building's was kept safe and free from to hazardous materials which poses a potential health, safety rights risk to persons in care.

Maintain facilities for fire and panic safety

87203 Fire Safety. All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by the light fixture in the fire exit stairwell was not in good repair, which poses a health a health and safety risk to residents in care

Assist residents with self-administered medication

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility....(4) The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by: Facility staff did not providescheduleded medication to resident 3 (R3) on 11/3/25. S3 stated medication was administered 11/7/25, however it was not recorded on the MAR. This poses an immediate/potential health risk to residents in care.

Based on a interview record review, the licensee did not ensure regular food service consultations were conducted regularly which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not ensure to complete quarterly fire drills which poses an immediate health, safety or personal rights risk to persons in care.

Maintain facilities for fire and panic safety

Based on record review the licensee did not ensure sprinkler system and water gong were in good repair which poses an immediate health, safety or personal rights risk to persons in care.

Maintain records of centrally stored medication dosages

Based on observation, interview, and record review, the licensee did not ensure to maintain a record of dosages of medications which poses/posed a potential health, safety or personal rights risk to persons in care.

Label and preserve medicine compliance standards

Based on [(observation) (interview) (record review)], the licensee did not ensure R1's medication bottle lable was not altered which poses/posed a potential health, safety or personal rights risk to persons in care.

Maintain facility in clean, safe, sanitary condition

87303 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. The above requirement is not met as evidence by observation and interviews. R1's sink and shower faucets were leaking. Additionally, a resident reported their ceiling to be leaking during LPA's visit. This is a potential health and safety risk to residents in care.

Maintain facilities for fire and panic safety

Based on observation, the licensee did not comply with the section cited above. 5 out of 6 fire extinguishers (including one in the kitchen) were observed to be out of compliance. They were last serviced 10/4/23 which poses an immediate health, safety or personal rights risk to persons in care.

Provide resident hot water for personal care

Based on observation, the licensee did not comply with the section cited above. During inspection of resident apartments/units, one resident (R1) did not have hot water in their bathroom sink faucet (no water came out when turned on) which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on interview the licensee did not comply with the section cited above. According to interview with staff, they have not conducted their quarterly drill since COVID which poses/posed a potential health, safety or personal rights risk to persons in care.

Facility maintenance and healthful environment

87307(d)(2) Personal Accommodations and Services: The following space and safety provisions shall apply to all facilities: The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment.This requirement was not met by: Based on interviews, observation, and file reviews, the licensee did not ensure the facility was clean/sanitary and healthful environment. The facility has a rodent infestation throughout the facility. This poses a potential health and safety risk to residents in care.

Maintain facility in clean, safe, sanitary condition

87303(a) Maintenance and Operation...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 was not met by: Based on interviews and observation, the licensee did not ensure the facility is clean, safe, sanitary and in good repair at all times. There were rat feces and debris found in resident room #145. This poses a potential health and safety risk to residents in care.

Residents in all facilities must have rights

87468.1(a) 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:This requirement is not met as evidenced by: Based on interviews conducted, licensee did not ensure that resident are treated with respect and dignity. Based on interview, It was learned that 6 out of 10 residents had concerns regarding facility staff not treating residents with dignity and respect. 6 out of 10 resident stated that facility staff walk into resident's room without knocking and turns on the light and never turn off the light and shut the door when facility staff leave residents room. This poses a potential health, and safety risk to residents in care.

Provide resident hot water for personal care

87303 Maintenance and Operation(e) Water supplies and plumbing fixtures shall be maintained as follows:(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C).This was not met evidence by: Based on observation and inspection the resident bathroom sink water temperature measured at 128.5*. Licensee did not ensue the water is within regulations which posed a potential health and safety risk to residents in care.

Dignity in personal relationships

87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall...(1) To be accorded dignity in their personal relationships with staff, residents...This was not met as evidenced by: Based on interviews and record review, The licensee did not ensure combative residents were consistently kept seperate from the facility community, which poses a potential health and safety risk for residents in care.

Exception for Health Conditions: The licensee may submit a written exception if she/he agrees the resident has a prohibited health condition but believes that the intent of the law can be met through alternative means. Written request shall include... documentation of resident’s health condition…licensee’s plan for ensuring the resident’s health related needs can be met by the facility.This requirement is not met as evidenced by: Based on interview and review of medical record on 10/04/2022 and medical dischargepaperwork, the licensee/staff failed to seek an exception as required to retained R1 with aprohibited health condition. This posed a health and safety risk to resident’s incare.

Dispose of unused medications with required witness

Incidental Medical and Dental Care Services. When prescription medications must be destroyed, specific procedures must be followed and itemized records must be kept for a minimum of three years. This requirement is not met as evidenced by LPA'S observed medication in the med room refrigerator for R1 to be expired 07/2022. based on records review on at leat 5 days in October controlled medication was not singed for at end or beginning of shift. This poses a imitate risk to residents in care.

Care and supervision as defined by statute and rules

Care and supervision.(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 records reviewed and interviewsconducted the Licensee was aware of R1's pressure injury on 10/7/2022. There was no follow-up for five days as a result, R1 was sent out to the ER on 10/13/22 and seen for a soft tissue infections and admitted to the hospital for 15 days and transported back to the facility without discharge papers. The facility is unaware of any treatment for the pressure injury that was noted on 10/7/2022. This poses an immediate health and safety risk to this residents.

Licensees who accept and retain residents with dementia shall ensure that each resident with dementia has an annual medical assessment and a reappraisal done at least annually. This requirement was not met as evidenced by: LPAs observed during records review that R6 is diagnosed with dementia and didn't have an updated assessment. This poses a imitate risk to residents in care.