Atria El Camino Gardens

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below... (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 met as evidenced by: Based on records reviewed and interviews conducted, the facility did not ensure that they notified CCLD of R1's being sent to the hospital on 9/19/25, which poses a potential health, safety, and personal rights risk to the residents in care.

87468.1 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.This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure resident (R1) was being treated with dignity when R1 had a change in cognition and facility did not consider change during eviction process, which poses a potential health, safety, and personal rights risk to residents in care.

87468.1 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: (3) To be free from punishment, humiliation, intimidation..or other actions of a punitive nature...This requirement is not met as evidenced by: Based on records reviewed, the facility provided a 30-day notice to pay or quit indicating that if resident (R1) does not pay by the date and time indicated that R1 is required to move or surrender possession of their apartment, or if payment is not made in full they are no longer allowed to remain in the community, and they must vacate and deliver possession of their apartment, which poses a potential health, safety, and personal rights risk to the residents in care.

§1569.657 Rate increase due to change in level of resident care; notice (a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that R1 received a 2-day notice of new private duty personnel services implemented, which poses a potential health, safety, and personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility (...) by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on medication count, the facility did not ensure that R8 was receiving medications as prescribed, which poses an immediate health, safety, and personal rights risk to residents in care.

87468.1 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: (11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that resident's (R1) was able to visit with visitors who requested to visit with her on 4/29/2022 and on 5/6/2022, which posed a personal rights violation to residents in care.

§1569.698 Building standards; adoption; locked and secured perimeters in residential care facilities; persons with dementia (f) Any person who is not a conservatee and is entering a locked or secured perimeter facility pursuant to this section shall sign a statement of voluntary entry. The facility shall retain the original statement and shall send a copy of the statement to the department. This requirement is not met as evidenced by: Based on documentation reviewed, the Licensee did not ensure that resident (R1) signed the "Secured Environment Addendum" dated 2/25/22. The document was signed by resident's POA instead which posed a potential personal rights violation to residents in care.

87705 Care of Persons with Dementia(c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement is not met as evidenced by: Based on interviews conducted and documentation reviewed, the Licensee did not ensure that resident (R1) did not leave the facility, on 10/16/2021, accompanied in a group, as directed by resident's physician, which posed an immediate health and safety risk to residents in care.

87224 Eviction Procedures (f) A written report of any eviction shall be sent to the licensing agency within five (5) days.This requirement is not met as evidenced by: Based on records reviewed and interview conducted, the facility did not ensure they submitted the 30-day written notice to terminate R1 to CCLD, which poses a potential health, safety, and personal rights risk to the residents in care.

87468.1 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:(3) To be free from punishment, humiliation, intimidation, abuse... This requirement was not met as evidenced by:S1 admitted to giving residents (R1, R2, and R3) cold showers and verbally threatening residents in care. This posed an immediate health, safety and personal rights risk to residents in care.

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, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (6) To make choices concerning their daily lives in the facility.This requirement is not met as evidenced by: Based on interviews and record review, the Licensee did not ensure that resident (R1) was allowed a smoke break on 3/6/2021 at approximately 10:00 pm when requested, which posed a potential personal rights violation to resident in care.

87464 Basic Services (d) A facility need not accept a particular resident for care. However, if a facility chooses to accept a particular resident for care, the facility shall be responsible for meeting the resident's needs as identified in the pre-admission appraisal specified in Section 87457, Pre-admission Appraisal and providing the other basic services specified below, either directly or through outside resources.This requirement is not met as evidenced by: Based on interviews and documentation reviewed, the Licensee did not ensure that resident (R1) was assisted with weekly showers, per care plan dated 1/10/2021, and given a shower on 1/10/2021 and on 1/17/2021, which posed a potential health and safety risk to resident in care.