Atria Grand Oaks

(a) In addition to the rights listed...residents...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 is not met as evidenced by: Based on interview and record review, licensee did not comply with the section cited as Resident #1's records were not provided within 2 business days and medical records were not provided to an authorized representative. This poses a potential personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above as the outdoor swimming pool was accessible to residents in care which poses an immediate health and safety risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as the facility had no record of a current and active liability insurance policy which poses a potential health, safety or personal rights risk to persons in care.

87224(a)(3) Failure of the resident to comply with general policies of the facility. Said general policies must be in writing, must be for the purpose of making it possible for residents to live together and must be made part of the admission agreement.This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the above cited section, as R1 was issued an eviction notice for violating house rules, however all parties involved did not believe R1’s behavior was abusive, which posed a potential personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities (a) (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature...interfering with daily living functions such as eating, sleeping, or elimination.This requirement is not met as evidenced by: The facility did not comply with the above cited section, as based on review of video footage, S1 is seen physically abusing R1, which posed an immediate health, safety and personal rights risk to residents in care.

87355 Criminal Record Clearance(e) all individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility:This requirement is not met as evidenced by: Based on record review, the licensee did not comply in that one (1) staff member did not have a criminal record clearance and one (1) staff member did not have a criminal record clearance transfer which poses an immediate health, safety, and personal rights risk to persons in care.

87468.2(a)(19) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following personal rights: (19) To have prompt access to review all of their records and to purchase photocopies of their records... records shall be provided within two (2) business days. This requirement is not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as the licensee did not provide R1’s additional missing documentation requested on 2/17/23, which poses a potential personal rights risk to the residents in care.

Based on observation, the licensee did not comply with the section cited above, as the swimming pool was observed accessible to residents in care, which poses an immediate health and safety risk to persons in care.

87303(a) Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, the licensee did not comply in the section cited above, as mold was observed in the conference room and a black like substance was observed in the basement common restrooms and on the vents near the dining room, which poses a potential health and safety risk to residents in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents ... shall have all of the following personal rights:(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above, as the exterior doors to the facility are locked from the inside, which poses an immediate personal rights risk to residents in care.

87303(a) Maintenance and Operation. (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above as the flooring is uneven, which poses a potential health and safety risk to residents in care.

Based on observation, the licensee did not comply with the section cited above, as water temperatures registered above 120 degrees Fahrenheit, which poses an immediate health and safetyrisk to persons in care.

87468.2(a)(19) Additional Personal Rights of Residents in Privately Operated Facilities. Residents shall have all of the following personal rights: (19) To have prompt access to review all of their records and to purchase photocopies of their records... records shall be provided within two (2) business days This requirement is not met as evidenced by: Based on interview and records review, the licensee did not comply with the section cited above, as it took the licensee approximately nine months to relinquish R1’s facility file, which poses a potential personal rights risk to the residents in care.