Grossmont Gardens Senior Living

87211(a)(1)(D)A written report shall be submitted to the… and to the person responsible for the resident within seven days of the occurrence … disposition of the case. (D)Any incident which threatens the welfare, safety or health of any resident…This requirement is not met as evidenced by: Based on interviews and record review, the licensee failed to provide a written report R1’s (RP) of a physical altercation involving R1 and another resident. This failure to provide timely notification occurred in 1 of 1 residents reviewed (R1), This poses a potential health, safety, or personal rights risk to the resident.

Based on observation, interviews with staff and residents, and water temperature readings conducted by the Department, the licensee failed to ensure that hot water was maintained between 105°F and 120°F in resident-use areas, as required Based on interview and record review, the licensee did not comply with the section cited above as the facility did not have hot water for multiple idays which posed a potential health and safety risk to (319) of (319) of residents in care at time of complaint.

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. Based on observations, interviews and record review, the licensee did not follow the approved fire clearance for delayed egress for 144 out of 372 residents [R1-R144] , which poses an immediate health and safety risk to residents.

Care of Persons with Dementia. Licensees that lock exterior doors...and continuing requirements: The licensee shall ensure...fire clearance includes approval of locked exterior doors...equipment needed to unlock exterior doors or perimeter fence gates. This requirement is not met as evidenced by: Based on observations, interviews and record review, the licensee did not obtain an approved fire clearance to lock the first floor by use of a key pad code to exit via elevator for 144 out of 372 residents [R1-R144] , which poses an immediate health and safety risk to residents.

Infection Control Requirements A licensee shall ensure that infection control practices are maintained as follows: This requirement is not met as evidenced by: Based on interviews, the licensee did not ensure infection control guidelines were followed for 26 out of 374 (R1-R26) residents, which posed a health and safety risk to residents in care.

Basic Services. Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c).services necessary to meet resident needs. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not ensure observation of the resident, once the resident attempted the first elopement 1 out of 379 [R1] residents, which posed a potential health and safety risk to residents in care.

Eviction Procedures. The licensee may evict a resident for one or more of thereasons...Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5). This requirement is not met as evidenced by: Based on interviews, the licensee did not issue a written notice of eviction for 1 out of 314 [R1] residents, which posed a potential personal rights risk to residents in care.