HILLCREST RESIDENTIAL CARE #2

Official classification

Type B

Official code

87307(a)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accomodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement was not met as evidenced by: Based on the review of the surveillance footage via the Ring app, S1 was observed sleeping on the facility couch in the living room on 5/7/26 at 1:55am and 10:31pm on 5/6/26.

Official plan of correction

Administrator stated that S1 will no longer be sleeping on the facility couch effective 5/15/25 after Admin forwards proof of purchase of the call buttons which will be installed in each residents' rooms. Admin will also submit an acknowledgement of understanding to LPA via email by POC due date.

Deadline recorded: May 15, 2026. 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

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: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by: Based on observation and review of the surveillance footages via the Ring app, all indoor and outdoor cameras have an audio component which poses a potential Personal Rights risk to persons in care.

Official plan of correction

Administrator stated that the 3 indoor cameras and 2 outdoor cameras facing the patio seats will be removed on or before the POC due date. Administrator will notify LPA if new cameras with no audio capabilities are installed. Installations must be completed on or before the POC due date.

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

Official classification

Type A

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 as 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 is not current being maintained, which poses an immediate personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction AD stated 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 will be obtained and maintained, and a copy will be provided to LPA via email by POC date.

Official classification

Type A

Official code

87309(a)

Regulation authority

CCR

What the official deficiency says

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as disinfectants and cleaning solutions were observed to be stored in an unlocked storgae, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction AD stated all toxic chemicals, cleaning solutions, and disinfectants will be stored in a locked storage and picture proof will be provided to LPA via email by POC date.

Official classification

Type A

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online 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 in two of two staff files reviewed which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction AD stated staff training will be completed and a copy provided to LPA via email.

Official classification

Type A

Official code

87219(i)

Regulation authority

CCR

What the official deficiency says

(i) The licensee shall implement reasonable interventions in order to ensure the safety of all residents utilizing indoor and outdoor areas and take precautions to prevent residents from unsafe wandering and elopement, as defined in Section 87101, Definitions. Such precautions may not conflict with residents' personal rights as specified in Section 87468.1, Personal Rights of Residents in All Facilities and Section 87468.2, Additional Personal Rights of Residents in Privately Operated Facilities. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and AD interview, the Licensee did not comply with the section cited above as kitchen and exterior gate were being locked to prevent residents from wandering or eloping, which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction AD immediately removed the lock from the kitchen door and exterior gate and stated they will provide LPA with a written plan of action ensuring the safety of all residents utilizing indoor and outdoor areas and ensuring such precautions do not conflict with residents' personal rights.

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 as evidenced by: Deficient Practice Statement Based on observation, the Licensee did not comply with the section cited above as facility fire extinguisher has not been serviced since March 9, 2024, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 05/20/2026 Plan of Correction AD stated fire extinguisher will be serviced and proof will be provided to LPA via email by POC date.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the Licensee did not comply with the section cited above in two of two resident bathrooms, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 05/20/2026 Plan of Correction AD stated hot water temperature controls will be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F and not more than 120 degree F and a video proof will be provided to LPA via email by POC date.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. 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 in one of three resident files reviewed, which poses a potential health and personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/20/2026 Plan of Correction AD stated results of examination for Communicable tuberculosis will be obtained and a copy provided to LPA via email

Official classification

Type A

Official code

87465(h)(5)

Regulation authority

CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above. 2 of 5 resident medications were being stored in a daily medication organizer which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/11/2025 Plan of Correction Administrator Alvarado will conduct an in-service training on medication administration procedures. Administrator Alvarado will email LPA Haley the in-service sign in sheet and a summary of the topics covered during the training.