Lytton Gardens Community Care

BASIC SERVICESBasic services shall...include care andsupervision as defined in Section 87101(c)(3) & HSC 1569.2(c)...the facility assumes responsibility for, or provides or promises to provide... ongoing assistance with ADLs without which the resident's physical health, mental health, safety, or welfare would be endangered. This requirement is not met, as evidenced by Acknowledgement Form given to clients, which states that clients should call 9-1-1 in case of a life threatening emergency. Licensee cannot absolve itself from responsibility to meet safety needs of clients.

PERSONNEL REQUIREMENTSFacility 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, as significant delayed response times were experienced by residents in September and Ocober 2025 when they activated the emergency signal system in their rooms. This is reflected on facility's device activity reports, and verified by residents. Licensee failed to ensure timely response times when residents called for staff assistance, which posed a potential health, safety or personal rights risk.

87303(e)(2) (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidenced by: the water temperatures in one hallway bathroom and 3 out of 4 observed resident living unit bathrooms were over 120 F, which poses an immediate 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: (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 specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidenced by: Licensee did not ensure that a LIC624 Unusual Incident/Injury Report was submitted to CCL with 7 days of the incident involving resident R1's private duty care giver verbally and physically abusing R1 on 06/30/2024, which poses a potential safety risk to residents in care.

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: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met as evidenced by: Licensee did not ensure that resident R1 was free from abuse and initimidation from R1's Private Duty Care Giver, which poses an immediate safety risk to residents in care.

87506(c)(1) Resident Records: (c) All information and records obtained from or regarding residents shall be confidential.(1) The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This requirement was not met as evidenced by: Licensee did not ensure that the confidentiality of resident information was safeguarded, which poses a potential safety risk to residents in care.

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: (10) To be informed of the licensee’s policy concerning visits and other communications with residents, according to Health and Safety Code section 1569.313. This requirement was not met as evidenced by: Licensee did not ensure that notices were posted in the elevators and entrances shared with Assisted Living to notify Independent Living residents that there was a positive COVID case in the facility, which posed a potential safety risk to residents in care.