Follow-up on corrections·May 6, 2025

On 05/06/2025, Licensing Program Analyst (LPA) Renee Campbell and Triel Lindstrom arrived to the facility unannounced regarding the facility camera policy. LPA Campbell met with Administrator Valerie Pais and explained the purpose of the visit. During the visit, LPA Campbell and Triel Lindstrom discussed the Safely You camera system with the administrator. Per Administrator Pais, Safely You is a camera system that uses Artificial Intelligence and sensors to identify when a resident has fallen. The cameras do not record sound. Per the administrator, Safely You does not save any data unless it is detected that a resident has fallen. At which time, the system will save the prior 8 minutes before the fall. LPA Campbell asked if the cameras in the rooms will be removable upon resident request. Administrator Pais stated she would need to investigate this option with Safely You. On 04/17/2025, a directive was issued by the Department to the facility to turn off the Safely You system. However, per the administrator, the facility did not know this included Memory Care as well. Once clarified, Administrator Pais agreed to turn off the Safely You system for Memory Care and she illustrated how the administrator can turn off the Safely You surveillance systems online. The facility can turn off the system through the Safely You website or request the company to do it for them. To verify the system has been turned off for all the rooms, the facility will request that Safely You turn off the system for Memory Care and email confirmation to the Department. The facility will also request verification from Safely You that data not related to a fall does not exist and cannot be retrieved. Per Administrator Pais, the cameras in Memory Care have been live since approximately May of 2024 after obtaining consent from the resident’s Power of Attorney. But the facility has not received an approved waiver for cameras in residents rooms in Assisted Living or Memory Care. There are currently 34 rooms with cameras installed but inactive in Assisted Living and 10 rooms with cameras installed that were made inactive during today's visit in Memory care. In summary, as part of their plan of correction, LPA Campbell and Triel Lindstrom requested that the facility will submit a waiver, plan of ops and admission agreement addendums for Memory Care and Assisted Living regarding use of Safely You in resident’s rooms. The facility will also request information from Safely You regarding optional removal of cameras from resident rooms and verification that data is not retained and cannot be retrieved. Such information will then be emailed to Triel Lindstrom at ellen.lindstrom@dss.ca.gov. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiency is being cited on the attached 809-D during this visit. An exit interview was conducted, and copies of the report and appeal rights left.