Skyline Place Senior Living

(e) Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. This is not met as evidenced by: Based on interview and record review, the licensee did not ensure that the facility had proper supervision to monitored R1 from physically assaulting R2. This poses an immediate health, safety, and personal rights risks to persons in care.

2. A separate charge for an item or service may be assessed only if that charge is included in and authorized by the admission agreement.This is not met as evidenced by: Based on interview and record review, the licensee did not ensure that the resident’s responsible party was notified of the additional charges on the resident’s care plan. This poses a potential health, safety, and personal rights risks to persons in care.

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence .... (D) Any incident which threatens the welfare, safety or health of any resident. This requirement is not met as evidenced by: interview with Admin stated that S1 was termintaed for attempting to come to work high. This poses a potential risk to residents in care.

“Facility staff shall ensure the continued safety of residents if they wander away from the facility without violating Sections 87468.1, Personal Rights of Residents in All Facilities and Section 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities.” This requirement was not met as evidenced by: Based on interview and record review, facility staff were aware of previous wandering behaviors which jeopardized the health and safety of the resident, yet did not ensure the resident’s safety during an episode of wandering behavior, which poses an immediate health, safety, and/or personal rights risk.

“The licensee shall immediately, or as soon as reasonably possible, bring any significant change in condition, as defined in Section 87101, Definitions, to the attention of the appropriate licensed medical professional and if applicable, other specialized care provider. Documentation of such communication shall be added to the resident's record and shall include: …” This requirement was not met as evidenced by: Based on interview and record review, no documentation exists to suggest that a significant change in condition, documented on R1’s service plan dated to November 2024, was communicated to R1’s physician.

87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency…:(1) A written report…within seven days of the occurrence…(D) Any incident which threatens the welfare, safety or health of any resident. This requirement was not met as evidenced by:Based on interview and record review, the Licensee did not ensure that a LIC624 was submitted to the Department notifying it of the termination of an employee for theft from a resident.

87468.2 Additional Personal Rights of Residents ...residents in ... residential care facilities for the elderly shall have all of the following personal rights: ... a reasonable level of personal privacy in accommodations.This requirement is not met as evidenced by: Based on interview, residents were not permitted a reasonable level of privacy in their private bedrooms due to the presence of cameras in their rooms which poses an potential health, safety or personal rights risk to persons in care.

1569.312 Basic services requirements: Every facility required to be licensed ... shall provide at least the following basic services: Monitoring the activities of the residents... to ensure their general health, safety, and well-being. This requirement was not met as evidenced by : Based on interviews and records review, the licensee did not ensure S4 monitored R1 to ensure R1’s general health and safety which poses an immediate Health, Safety and Personal Rights risk to persons in care.

Basic ServicesBasic services shall at a minimum include:Personal assistance and care as needed by the resident... with those activities of daily living ...This requirement was not met as evidenced by: Based on LPA Jensen's review of the call log response times, R1 did not receive personal assistance when needed and waited excessively based on the facility's own standards. This poses a potential risk to the health, safety and personal rights of residents in care.

Observation of the ResidentThe licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. This requirement was not met as evidenced by: Based on records reviewed and interviews conducted the facility did not meet the hygiene needs of R1 which lead to the development of open wounds. This poses and immediate risk to the health, safety and personal rights of residents in care.

Additional Personal Rights of Residents in Privately Operated Facilities...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 the documentation reviewed reveals that the resident was being charged for hygiene services that were not being administered. This poses a potential risk to the health, safety and personal rights of residents in care.