Pine Ridge Terrace

Ensure hazardous items are locked and not unattended

Based on LPA's/Administrator observation and interview, the licensee did not comply with the section cited above in one maintenance shop and two laundry rooms located in memory care and assisted living unit were unlocked which poses/posed a potential health, safety or personal rights risk to persons in care.

Request a transfer of criminal record clearance

Based on LPA's/Administrator observation, interview and record review, the licensee did not comply with the section cited above in three out of ten staff individuals (I1, I2 & I3) were fingerprint cleared, but their fingerprints have not been transferred and associated to the facility which poses an immediate health, safety or personal rights risk to persons in care.

Right to sufficient care and qualified staff

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities- In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated 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 was not met as evidenced by: Per review of alarm event report on R1's pendant for the month of 10/2025, the following recorded dates, times, and elapsed time until staff responded to R1's call pendant, LPA documented calls that had a wait from 15 minutes to over 20 minutes for some, on 10/4 twice, 10/5, 10/8, 10/10, 10/12, and 10/17, see LIC9099. Facility staff failed to respond in a timely manner to R1's pendant calls listed. This is a risk to resident's personal rights & a risk to resident's health & safety.

87468.2(a)(1)(3) Additional Personal Rights of Residents in Privately Operated Facilities- Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature. This requirement was not met as evidenced by: LPA obtained two photos that had been taken, by S3/staff member, of resident R1 who had fallen on the ground in their apartment unit. S3 took the pictures of R1, with their personal cell phone, prior to assisting the resident off the floor, and providing needed care. stamp, and with S3's personal phone. Per investigation, and interviews, the resident/R1 photos are found to be personal, confidential, humiliating, and violate R1’s personal rights. LPA has copies of photos for the file. This is a violation of resident's personal rights.

87705(e)(7) Care of Persons with Dementia- Licensees that use delayed egress devices on exterior doors and perimeter fence gates shall meet the following initial and continuing requirements: Delayed egress devices shall not substitute for trained staff in sufficient numbers to meet the care and supervision needs of all residents,, including staff needed to escort residents who need supervision to leave the facility. This requirement was not met as evidenced by: Incident regarding R2 who AWOL the memory care unit from the patio/courtyard door to the outside; The door is an egress exit, pressing on it for time required will release it, alarm sounded which alerted staff, who found R2 in the parking lot,this occurred on 10/31, at 5am. Incident of R2 on 11/2 AWOL out the memory care unit door that is inside the building leading into the assisted living area. R2 approached the front lobby area, and was redirected by staff back to the memory care. Only staff have the key code to the memory care unit door in the building. This is a health & safety risk for the resident.