WEST PARK SENIOR LIVING

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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 by: Based on observations made during the facility walkthrough, the facility did not meet regulatory requirements by failing to maintain the facility in good repair. Portions of the walls in the second- and third-floor laundry rooms were missing, exposing plumbing, and LPA observed water leaking from a washing machine wihich poses/posed an immediate risk to the resident's health, safety, and personal rights.

Official plan of correction

The facility shall repair the damaged walls in the second and third floor laundry rooms, ensure exposed plumbing is properly enclosed, and repair the leaking washing machine. The facility shall submit photographic proof and/or repair documentation to LPA by the POC due date.

Deadline recorded: Sep 18, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

1569.695 Emergency Plans (c) A facility shall conduct a drill at least quarterly for each shift... The above requirement was not met as the facility file did not contain documentation of quarterly emergency drills being conducted with the Pm and Noc shifts.

Official plan of correction

By POC due date , Administrator will submit to LPA via office fax proof an emergency drillsconducted will all shifts.

Deadline recorded: Aug 12, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(f)

Regulation authority

CCR

What the official deficiency says

87507(f)Admission Agreement. The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above in that R1, as responsible party, was not given prior written notice of change in fees due to level of care.

Official plan of correction

Licensee agees to advise resident prior to changes. S3 will email LPA a written statement indicating the have read the admission agreement and will comply with Title 22 regulations.

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

Official classification

Type B

Official code

87208(a)

Regulation authority

CCR

What the official deficiency says

(a) 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 and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above the sixth and seventh floor of buliding are being treated as independent living without approval from department which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction Administrator will submit all required documents for R5 -R6 admission agreements, conset forms, current 602's, personal rights, and appraisel needs and service plans and update all forms for the rest of residents on 6th and 7th floor.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above insurance expired 10/2025 which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction Administrator will submit current insurance to LPA by POC due date.

Official classification

Type B

Official code

1569.625(b)(1)

Regulation authority

HSC

What the official deficiency says

(1) The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of employment. The training coursework may utilize various methods of instruction, including, but not limited to, lectures, instructional videos, and interactive online courses. The additional 16 hours shall be hands-on training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above three (3) out of eight (8) staff did not have the required training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction Administrator will send completed training for S4, S7, and S8 by POC due date.

Official classification

Type B

Official code

87506(a)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above four (4) out of six (6) residents were missing paperwork from file which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction R1- Admission agreement and personal rights, R2 -conset form, R4- current 602 with TB, R5- admission agreement,new 602, conset forms, and appraisel needs and service plan, and R6- conset forms, personal rights, and appraisel needs and service plan.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above no drill were avaliable for review which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2026 Plan of Correction Administrator will conduct drills and send to LPA by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 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, interviews, records review, the Administrator did not comply with the section cited above in which LPA's observation and resident/staff interviews revealed that the air conditioning in Room #721 was replaced because of mold which poses a potential health and safety risk to residents in care.

Official plan of correction

Administrator will ensure that the facility continues to have inspections for mold or mildew in the residents rooms and provide LPA a written statement stating the plan on how to avoid the issue in the future by POC due date.

Deadline recorded: Jan 24, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(e)(2)

Regulation authority

CCR

What the official deficiency says

87465 (e)(2) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. (2) The exact dosage The requirement is not met as evidenced by: Doctor’s order dated 5/16/23 for Hydralazine dosage does not match the label dosage on the bottle dispensed on 07/23/23. The doctor’s order is for 1 tablet by mouth 3 times per day and label reads: Take 1 tablet by mouth 3 times per day. Ok to take extra one-half tablet if SHIP is above 150. Both the doctor’s order and the label should mirror each other. This posed/poses a health and safety hazard to persons in care.

Official plan of correction

Administrator will write a letter stating how this will be addressed by facility and provide in service to all Medication Technicians on save medication handling.

Deadline recorded: Dec 19, 2023. 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 (a) (1) (b) 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. (1) 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 is not met by evidence of: Facility has not complied with reporting requirements on more than one occasion. On 3/18/2023 a resident cut self and it was not reported to the department until 3/29/2023. Past the 7 day requirement. On 03/25/2023 a Death report was submitted without a name of resident. Corrected Death report was submitted on 04/03/2023 past the 7 days

Official plan of correction

Administrator will send LPA a written plan on how facility will correct the late reporting and conduct in service with all staff on reporting requirements and send signed roster with dates, length, instructor, and topics covered by POC

Deadline recorded: Apr 20, 2023. A deadline is not proof that correction was completed.