Activcare at Rolling Hills Ranch

87464 Basic Services(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).The following requirement has not been met as evidenced by: The facility neglected to provide proper care and supervision of Resident 1 leading to serious injury, which poses an immediate health, safety, or personal rights risk to residents in care.

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities 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:(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: Based on observations, records review, and interviews with staff and outside sources, licensee did not ensure that care and supervision was provided to meet R1 needs as outlined in R1’s service care plan. This posed an immediate health, safety, and personal rights risk to one 1 of 53 residents in care.

(c) If the resident's physician has stated... that the resident is unable to determine his/her own need for nonprescription PRN medication,... facility staff...shall be permitted to assist the resident with self administration, provided...: (2) Once ordered by the physician the medication is given according Based on records and interviews, the licensee did not ensure that 1 of 43 residents were assisted as needed with prescription medications per physician's order on 4/10/2024, which posed a potential health risk to persons in care.

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...(D) Any incident which threatens the welfare, safety or health of any resident." This requirement was not met, as evidenced by: Based on records and interviews, 1 of 42 residents (R1) had an incident which threatened their welfare, safety, or health, and Licensee did not submit a written report of the incident to the person responsible for the resident within seven days of incident occurrence. This posed a potential personal rights risk to persons in care.

87411 Personnel Requirements – General: “(a) Facility personnel shall at all times be…competent to provide the services necessary to meet resident needs.” This requirement was not met, as evidenced by: Based on interviews, the licensee did not ensure a facility personnel (S1) was competent to provide the services necessary to meet the needs of 1 of 42 residents (R1), which posed an immediate health and safety risk to persons in care.

Regulation 87468.1 Personal Rights of Resident in All Facilities (a)(11) to have their visitors... permitted to visit privately during reasonable hours and without prior notice... This requirement has not been met as evidenced by: Based on interviews and records review, the Licensee did not ensure R1 was permitted to have visitors. This poses a potential personal rights risk to 44 of 44 residents in care.