REGENCY PALMS LONG BEACH

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements(a)(1)Each licensee shall submit serious incident reports to. . . the Department may require, including the following: (1) A written report shall be submitted to the licensing agency & to the person responsible for the resident within 7 days of the occurrence of any of the events This requirement was not met as evidenced by: based observation, LPA observed that the facility did submit a LIC 624 to the department within 7 day of incidents that occurred on 10/30/2025 & 12/14/2025.

Official plan of correction

The facility shall will submit a serious incident reports for the incidents that occur on 10/30/2025 & 12/14/2025 for Resident 1 (R1) The report must be fax to 424-544-1016 to department by POC due date.

Deadline recorded: Aug 10, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(3)

Regulation authority

CCR

What the official deficiency says

General Food Service Requirements (b) The following food service requirements shall apply: (3) Between-meal nourishment or snacks shall be made available for all residents unless limited by dietary restrictions prescribed by a physician. This requirement was not met as evidence by: Based on resident and staff interviews, the facility does not provide snacks to its residents in assisted living (floors 6 - 8) which poses a potential health risk to clients in care.

Official plan of correction

The Administrator will email a copy of the snack menu and ensure it is posted in assisted living (floors 6-8). POC to be emailed to regina.cloyd@dss.ca.gov by the POC due date.

Deadline recorded: Jun 2, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: The licensee shall assist residents with self-administered medications as needed. Deficient Practice Statement Based on interview andrecord review, the licensee/Executive Director did not comply with the section cited above as the medication administration record (MAR) indicating that medication(s) were given to residents #6-7 as prescribed, however LPA observed medication still to be in the bubble pack which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/07/2025 Plan of Correction Licensee/Executive Director to conduct Inservice with all staff who assist residents with medication administration. In service will include the importance of documenting medications given and/or refused. LPA Brown to receive proof of in-service by POC due date.

Official classification

Type B

Official code

87208(a)

Regulation authority

CCR

What the official deficiency says

Plan of Operations: The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation. . . This requirement is not met as evidenced by: Based on interviews conducted and records review the facility is not following the approved plan of operation by allowing the use of video surveillance in resident rooms. This poses as a personal rights risk to residents in care.

Official plan of correction

The licensee will provide the Department with an updated copy of the Admission Agreement as a means to update the facility Plan of Operation on file with the Department by POC due date.

Deadline recorded: Jun 8, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(1)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities. . . to have a reasonable level of personal privacy in accommodations. This requirement is nor met as evidenced by: Based on interview conducted and record review. . . Residents #1-7 currently have video surveillance with audio component. 5 of 7 residents are in shared rooms where the video surveillance are located. The facility does not have consent forms on file or approved waiver from licensing in compliance with EM 2-5800.

Official plan of correction

The licensee will submit a plan that states fully complying with the tems outlined in it's Admission Agreement and all applicable sections in the California Code of Regulations Title 22, Section 87468, regarding the unauthorized video surveillance in residents living areas or other areas . . . where privacy is expected. The facility will not allow the installation or use of video surveillance in residents apartment which will outline the facility Admission Agreement and Plan of Operation filed with DSS by POC due date.

Deadline recorded: Jun 9, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(1)

Regulation authority

HSC

What the official deficiency says

Additional Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities. . . to have a reasonable level of personal privacy in accommodations Based on interview, five (5) residents have surveillance video cameras in their residents bedrooms which poses as a personal rights risk to residents in care.

Official plan of correction

The licensee will submit a plan to the department outlining the steps, the facility will take to ensure compliance with Title 22 regulations by POC due date.

Deadline recorded: Jun 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not meet by evidence by: Based on interviews conducted and record review, the licensee did not comply with section cited above by not submitting a written report to the licensing agency within seven days of the incident that occurred on 11/20/2024.

Official plan of correction

The Executive Director has agreed to re-read CCR87211 and follow Reporting Requirements, create a plan to follow Reporting Requirements, and retrain staff on how to submit written reports to licensing. The Executive Director has agreed tol submit an Unusual Incident Report to CCLD regarding the incident that occured on 11/20/2024. The licensee will email proof of correction to Socorro.Leandro@dss.ca.gov

Deadline recorded: Jan 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)

Regulation authority

CCR

What the official deficiency says

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) 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… This requirement was not met as evidenced by: Based on interviews and records review, facility staff did not assist R-1 after being alerted in a timely manner which poses a possible health and safety risk to persons in care.

Official plan of correction

The Adminstrator shall implement a system designed to answer pull cord alerts faster. Administrator will delegate the pull cord alerts over to the Med Techs which she feels will get a faster response in getting those alerts over to the caregivers to be of assistance to residents in care. Please send copies of Plan of Corrections to LPA Felisa Shirley by email at felisa.shirley@dss.ca.gov or by fax to (424)544-1016 by POC date of 12/30/24.

Deadline recorded: Dec 30, 2024. A deadline is not proof that correction was completed.