Inspection visit

complaintDecember 17, 2021

RIALTO ASSISTED LIVINGLicense 3618806602 citations on this visit

2 citations recorded

Inspector’s narrative

What the inspector wrote

Therefore, since the facility did not intervene in R1's actions (which had proven to be hazardous to others in the facility) other than providing written warnings, the allegation of " Staff failed to provide a safe environment" is SUBSTANTIATED. Regarding allegation " Lack of care and supervision": LPA Colvin reviewed the facility file for one resident (R2) as well as conducted interviews with staff and residents. LPA Colvin observed that R2 had a significant change in condition from 2019 - 2021, as evidenced by R2's Physician's Reports. In 2019, R2 was ambulatory and able to care for all of their daily needs, but by 2021, R2 was non-ambulatory and needed significant assistance with toileting and bathing. During review of R2's file, LPA Colvin did not observe any updates to the facility's assessment for R2's Care Plan since the quarterly review dated 3/28/20. LPA Colvin did observe an assessment from the Assisted Living Waiver (ALW) Program, though this assessment did not include an evaluation of daily grooming needs. Interviews confirm that R2 originally was very independent, but since R2's return from the hospital in February 2021, R2 needed an increasing amount of assistance. Additionally, LPA Colvin reviewed the Death Report for R2 from 6/3/21 and observed that the caregivers on duty observed that R2 was non-responsive, but failed to provide aid or contact 911 until after the facility's nurse arrived for their scheduled shift at 6:59am, at which point the staff notified the Nurse, who then instructed them to call 911 while the Nurse provided CPR. It was reported that R2 appeared to have a liquid (possibly soda) in their mouth, which was drained out by the Nurse turning R2 onto their side. R2 was pronounced deceased by the paramedics at 7:38am. It should be noted that R1's Advance Directive stated that R1 wanted full treatment of life saving measures. Due to staff's failure to document changes in R2's condition and needs, as well as staff's failure to immediately provide life saving measures upon finding R2 unresponsive, the allegation of " Lack of care and supervision" is SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. Due to observations made by LPA Colvin, the facility was cited and deficiency noted on LIC 9099 D. An exit interview was conducted where this report and appeal rights were discussed. A copy of all reports, forms, and appeal rights were provided to Administrator Kyong "Clara" Suk Lee during the exit interview. A finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted, and a copy of this report was provided to Administrator Kyong "Clara" Suk Lee.

Citations

7 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87468.1(a)(2)Type 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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the above regulation with at least one resident. LPA Colvin learned that R1 has hit residents & staff with their electric scooter on multiple occasions. There is no record of facility intervention. This is an immediate safety risk.
87468.2(a)(27)Type B
Additional Personal Rights of Residents in... Facilities : (a) In addition to the rights listed...residents...shall have all of the following personal rights: (27) To keep, have access to, and use their own personal possessions...and to keep and be allowed to spend their own money... This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with at least 4 residents. LPA Colvin observed 4 residents did not have access to their April 2020 P&I until 4/9/20, six days after the Licensee received the checks. This was a potential personal rights violation.
87307(d)(2)Type B
Personal Accommodations and Services: (d) The following space and safety provisions shall apply to all facilities: (2) 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 and record review, the Licensee did not comply with the above regulation with at least one area of the facility. LPA Colvin confirmed that Room #32 was in a state of disrepair for over 3 weeks, leaving the occupant displaced. This was a potential personal rights violation of the occupant.
87307(a)(3)(C)Type B
Personal Accommodations and Services: (a) Living accommodations...shall be related to the facility's function...The following provisions shall apply: (3)...the licensee shall assure provision of: (C)...bath towels, hand towels and wash cloths. The quantity shall be sufficient... This requirement was not met by: Based on interviews and internal audit, the Licensee did not comply with the above regulation with at least one category of item. LPA Colvin confirmed that the facility did not have a sufficient supply of towels, as there was only one spare clean towel. This was a potential health risk to all residents in care.
87466Type A
Observation of the Resident:...shall ensure that residents are regularly observed for changes...and that appropriate assistance is provided...the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This regulation was not met by: Based on interviews and record review, the Licensee did not comply with the following regulation in that Administrator observed resident to have a significant change in condition and did not re-evaluate for level of care, resulting in infected wound. This was an immediate risk to R1.
87468.2(a)(4)Type A
Additional Personal Rights of Residents in...Facilities : (a) In addition to the rights listed...residents... shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs... This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the above regulation with one resident (R2). LPA Colvin learned that R2 had a change in condition, and their facility Care Plan was not updated. Staff additionally failed to immediately provide R2 with life saving measures. This was an immediate health risk for R2.
87303(a)Type B
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 was not met by: The Licensee did not comply with the above regulation with at least one area of the facility. LPA Colvin observed that paper towels in the common bathroom are stored on the counter, and not in the dispenser which is on the wall. This is a potential health risk to all persons.

FAQ · About this visit

Common questions about this visit

What happened during the December 17, 2021 inspection of RIALTO ASSISTED LIVING?

This was a complaint inspection of RIALTO ASSISTED LIVING on December 17, 2021. 2 citations were issued: 2 Type A (serious).

Were any citations issued to RIALTO ASSISTED LIVING on December 17, 2021?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall h..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·December 17, 2021