The Village at Sydney Creek

Update reappraisal at required intervals

Based on record review, the licensee did not comply with the section cited above in 2 out of 5 resident reappraisals after residents had a change of condition which poses a potential health, safety or personal rights risk to persons in care.

Ensure hazardous items are locked and not unattended

Based on observation and interview, the licensee did not comply with the section cited above when an aerosol can of Spray Scents deodorizer, 7 bottles of nail polish, a bottle of nail polish remover, an aerosol can of nail dryer, an aerosol can of Zep Freshen Disinfectant Spray and a spray bottle of glass cleaner were left unattedned and accessible to residents in care which poses an immediate health, safety and personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on interview and record review, the licensee did not comply with the section cited above in that S1 was employed and not associated to the facility from June 2022 through July 2023 which posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in 2 out of 4 training drills which poses a potential health, safety or personal rights risk to persons in care.

Safe, healthful, comfortable accommodations

87468.1(a)(2) 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 interviews, the facility did not ensure that adequate personal hygiene measures were in place to keep residents healthy which poses an immediate health and safety risk to residents in care.

Safe, healthful, comfortable accommodations

87468.1 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 interviews, the facility did not ensure that adequate personal hygiene measures were in place to keep residents healthy which poses an immediate health and safety risk to residents 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: (3) Fires or explosions which occur in or on the premises shall be reported immediately to the local fire authority; in areas not having organized fire services, within 24 hours to the State Fire Marshal; and no later than the next working day to the licensing agency. This is a potential safety hazard to residents in care. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not report a fire incident to CCL.

87705(I)(8) Care of Persons with Dementia: (l) The following initial and continuing requirements shall be met for the licensee to lock exterior doors or perimeter fence gates: (8) Fire and earthquake drills shall be conducted at least once every three months on each shift and shall include, at a minimum, all direct care staff.This requirement was not met as evidenced by: Based on interviews and record review, the facility did not ensure that, at minimum, all direct care staff were trained on fire drills at minimum every three months which poses an immediate health and safety risk to residents in care.

Personal rights of residents in all facilities

87468.1 Personal Rights. Residents have the right to be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on observations, the facility failed to ensure staff were wearing face coverings which poses an immediate health, safety and personal rights risk to residents in care.

Submit and maintain current mailing address

87355(e)(1) Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1)Obtain a California clearance or a criminal record exemption as required by the Department. The requirement was not met as evidenced by: Interviews and record review. S1, S2, S3, S4, and S5 do have a criminal background clearance. This poses an immediate health and safety risk to residents in care.

Dignity in personal relationships

...(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidenced by: Based on interviews with staff the licensee did not comply with the regulations above as staff made inappropriate comments to resident in care, which poses an immediate personal rights risk to resident in care.