Complaint·June 5, 2025

Citations

8 citations recorded^*CCLD

• 87303(a)Type B

  Maintain facility in clean, safe, sanitary condition

  87303 Buildings and Grounds (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement was not met as evidence in; Based on observations and interviews the licensee did not treat for mold in 1 of XX (GET CENSUS) persons in care which posed a potential Health and Safety risk to persons in care.

• 87468.2(a)(8)Type A

  Right to freedom from abuse and neglect

  87468.2 (a)(8) Additional Personal Rights of Residents in Privately Operated Facilities (a)(8) In addition to rights listed in Section 87468.1, Residents shall have the following personal rights…to be free from physical abuse. This requirement was not met as evidenced by: Based on interviews with staff and outside sources, records review, and photographs, Facility staff handled resident roughly resulting in bruises. Licensee did not comply with regulation for 1 of 69 residents. This caused an immediate health and safety risk to residents in care.

• 87470(a)Type B

  87470 Infection Control Requirements (a) A licensee shall ensure that infection control practices are maintained as follows: This requirement was not mer as evidenced by: Based on interviews, the licensee did not ensure staff followed COVID-19 guidance, which posed a potential Health, Safety, and Personal Rights risk to all persons in care.

• 87468.1(a)(9)Type B

  Prompt responses to resident communications

  87468.1 Personal Rights of Residents in All Facilities (a) Residents...shall have... the following personal rights:(9) To have communications to the licensee from their representatives answered promptly and appropriately. This requirement was not met as evidence in; Based on interviews and records review the licensee did not communicate with residents promptly and appropriately in 3 of of XX persons in care which posed a potential Personal Rights risk to persons in care.

• 87211(a)(1)Type B

  Report specified resident events within seven days

  Reporting Requirements.(a) Each licensee... reports as the Department may require...(1) A written report shall be submitted to the licensing agency and to the person responsible... within seven days of the occurrence..This requirement was not met as evidenced by: This requirement is not met as evidenced by: Based on record review and interviews, the licensee did not ensure an incident report was completed forX out of X residents [R1], which poses a potential health and safety risk to residents in care.

• 87468.2(a)(19)Type B

  Right to access and copy personal medical records

  87468.2(a) In addition to the rights listed in Section 87468.1…personal rights:(19)To have prompt access to review all of their records…2 business days..This requirement was not met as evidenced by: Based on records review and interviews, the licensee did not provide prompt access to review records in 1 of 63 persons in care, which posed a potential Personal Rights risk to persons in care.

• 87506(b)(13)Type B

  Resident records.(b) Each resident’s record .... information:(13)Continuing record of any illness, injury, or medical or dental care, when it impacts the resident's ability to function or needed services. Based on records review and interviews, the licensee did not update records in 1 of 63 persons in care, which posed a potential Personal Rights risk to persons in care.

• 87207Type B

  Prohibit false or misleading facility statements

  False Claims.No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement.....the services provided by the facility. This requirement was not met as evidenced by: Based on interviews and record reviews, The licensee staff faslified documents for COVID-19 results for R1. This posed a potential personal rights risk to all residents in in care.