Brookdale Scotts Valley

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility… This requirement was not met as evidenced by:Based on staff interviews and records review,the licensee did not ensure staff properly documented R1's monthly service charges, increase in BSR, increase in PSR, additional service charges, and discussions with R1 regarding said charges. This poses a potential health, safety, and personal rights risk to residents in care.

87465 Incidental Medical and Dental Care(a)... (6)... a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement was not met as evidenced by: Based on records review, the licensee did not ensure staff maintained a complete medication record for R4 and R5 medication dosages, which poses a potential health, safety, and personal rights risk to residents in care.

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility...(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This was not met as evidenced by: Based on interviews and records review, R1 was not ready in time for a doctors appointment which poses an immediate health, safety or personal rights risk to persons in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1,... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (19)To have prompt access to review all of their records ... Photocopied records shall be provided within two (2) business days... This requirement was not met as evidenced by: Based on interviews and records review, The Licensee did not ensure that resident R1’s records were provided within two business days to R1’s Power of Attorney, which poses a potential personal rights risk to residents in care.

87507 Admission Agreements (g) Admission agreements shall specify the following: (4) Modification conditions, including the requirement for the provision of at least 60 days prior written notice...(B)The conditions under which a licensee may increase or change rates shall be specified in the admission agreement, pursuant to Health and Safety Code sections 1569.655 and 1569.657. This was not met as evidenced by: Based on interviews and records review, the Licensee did not provide prior written notice to R1 regarding the increase of rates for care provided which poses a potential personal rights risk to residents in care.

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review... 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 DepartmentThis requirement is not met as evidenced by: Based on record review and interview, staff S1 did not have a California Criminal Record Clearance and ADM stated S1 did not obtain a Criminal Record Clearance after turning 18 years of age which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

(b) In addition to Section 87611, General Requirements for Allowable Health Conditions, the licensee shall be responsible for the following: (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence. This requirement is not met as evidenced by: Based on interview, record review and observation the licensee did not ensure resident (R3) was left clean and dry as R3 was found in dirty double diapers which poses an immediate health, safety, and personal rights risk to persons in care.

87555 - General Food Service Requirements - (1) Where all food is provided by the facility arrangements shall be made so that each resident has available at least three meals per day. This requirement was not met as evidenced by: Based on observation and interviews, the facility did not ensure R1 was aware of breakfast delivery. This posed a potential risk to the health and safety of residents in care.

80061 - Reporting Requirements - Upon the occurrence... of the events specified... a report shall be made to the licensing agency within the agency's next working day during its normal business hours... (H) Epidemic outbreaks. This requirement was not met as evidenced by: Based on records review, the licensee did not comply with the section cited above by not reporting COVID positive residents and staff member to licensing within 24 hours, which posed an immediate health, safety or personal rights risk to persons in care.