Crystal Creek Senior Living

87465 Incidental medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility… (4) The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by: Based on interviews and record reviews, Licensee did not ensure that an appropriately skilled professional assisted residents as needed with self-administering insulin flex pen injections. This posed an immediate health and safety risk to residents in care.

87464(f)(1) Basic Services: Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by: based on interviews and file review. the Licensee did not ensure staff were responding to residents call buttons timely and providing care in a timely manner. This posed a potential health and safety risk.

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply:(3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: Based on interviews and document review the facility did not provide body soap to residents per the admissions agreement. This poses a potential risk for residents in care.

87307 Personal Accommodations and Services(e) The licensee shall supervise residents as needed and as determined by the resident's appraisal pursuant to Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, when residents are in proximity to or when there is use of the following items:(1) Ranges, ovens, heaters, fireplaces, wood stoves, inserts, and other heating devices. Based on interviews and observation of R1's heater it has no safety measures in place. This poses a potential safety risk to residents in care.

87411(a) Personnel Requirements - General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs.This requirement is not met by: Based on interviews and record review, the Licensee did not ensure adequate supervision of residents in care. Resident R1 AWOL'd from the facility on 12/06/2025. This poses an immediate health and safety risk to the resident in care.

87205 Accountability of Licensee Governing Body(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. This regulation was not met as evidenced by: The licensee failied to provide the requested documentation to the department to verify qualifications and assign the prospective Administrator. Date of hire: 08/11/25This poses a potential risk to cllients in care.