Alexander Gardens

(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…(D) Any incident which threatens the welfare, safety or health of any resident…This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the licensee did not comply with the section cited above when a resident eloped from the facility and it was not reported to CCLD within seven (7) days of the occurrence which poses an immediate health and safety risk to residents in care.

Right to sufficient care and qualified staff

87468.2(a)(4)… residential care facilities for the elderly shall have all of the following personal rights: 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 is not met as evidenced by:Based on interviews conducted and records reviewed, the licensee did not comply with the section cited above when Resident 1 (R1) eloped from the facility alone and without supervision which poses an immediate health and safety risk to residents in care.

Request a transfer of criminal record clearance

This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above when a clerical error occurred resulting in no criminal background clearance was completed which poses an immediate health and safety risk to residents in care. Civil Penalty Assessed.

Provide signal systems for large or multi-floor facilities

87303(i)(1) Maintenance and OperationFacilities shall have signal systems which shall meet the following criteria: All facilities licensed for 16 or more and all residential facilities having separate floors or buildings shall have a signal system which shall… This requirement was not met as evidenced by: Based on record review and interview, the licensee did not comply with the section cited above when the signal system went unanswered for an extended period of time, which posed a potential health and safety risk to residents in care.

Private visitor access without prior notice

87468.1(a)(11) Personal Rights of Residents in All Facilities: To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon.This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, each resident may have two visitors at a time on Tuesdays, Thursdays, Fridays, and Sundays at 11:30 am, 1:30 pm, and 3:30 pm for 30 minutes by appointment only. This is a personal rights violation and poses an immediate health and safety risk to residents in care.

87211(a)(1)(D) Reporting Requirements: ...Any incident which threatens the welfare, safety or health of any resident...This requirement is not met as evidenced by: Based on records reviewed and interviews conducted four (4) fall incidents occurred between 6/25/2021 and 7/16/2021 that were not reported to CCL as required. This poses an immediate health and safety risk to residents in care.