ROYAL CARE FAMILY HOMES

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 LPA's observation and interview, the licensee did not comply with the section cited above for six of six residents which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/15/2026 Plan of Correction Licensee immediatly removed the knives and placed them under the sink in a secured location. POC cleared via visit.

Official classification

Type B

Official code

87462

Regulation authority

CCR

What the official deficiency says

87462 Social Factors The facility shall obtain sufficient information about each person's likes and dislikes and interests and activities, ... to suggest the program of activities in which the individual may wish to participate. The requirement is not met as evidenced by: Four out of six residents stated there are no activities offered at the facility which poses a potential personal rights risks to persons in care.

Official plan of correction

Assistant AD stated she will complete an activities assessment for each resident including likes and dislike and use the information to create a new activities calendar. Assistant AD will have staff sign off on completed activities every week.

Deadline recorded: May 31, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

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 water temperature in the two resident bathrooms tested at 134 and 142 degrees F, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction During the inspection, the licensee adjusted the water temperature and LPA confirmed. Licensee stated they will conduct temperature checks and submit logs to LPA by POC due 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 ensure staff medications were inaccessible to residents in the non-lockable staff bedroom and none of the residents are assessed as being able to safely be around unlocked medications, which poses an immediate health risk to persons in care.

Official plan of correction

POC Due Date: 04/21/2026 Plan of Correction During the inspection, the licensee secured the staff medications and LPA confirmed. Licensee stated they will conduct training on securing dangerous items and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87202(a)(1)

Regulation authority

CCR

What the official deficiency says

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (1) Nonambulatory persons. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, R1, R2, R3, R4, and R5 are non-ambulatory, the facility has a fire clearance for two non-ambulatory and was unable to provide documentation showing their fire clearance request received January 8, 2025 for six non-ambulatory was approved, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 05/18/2026 Plan of Correction Licensee stated they will follow up with the fire inspector and provide the status of the facility's fire clearance request to LPA by POC due date.

Official classification

Type B

Official code

87458(c)(7)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (7) A description of any known behavioral expression as defined in Section 87101, Definitions. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, R3, R4, and R5 are on the old form and do not contain required information, including behavioral expressions, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 05/18/2026 Plan of Correction Licensee stated they will obtain updated physician's reports on the new form for these residents and submit proof to LPA by POC due date.

Official classification

Type A

Official code

87204(b)

Regulation authority

CCR

What the official deficiency says

(b) Resident rooms approved for 24-hour care of ambulatory residents only shall not accommodate nonambulatory residents. Residents whose condition becomes nonambulatory shall not remain in rooms restricted to ambulatory residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA observation, record review and interview, licensee currently has a total of three non-ambulatory residents ocuppying three resident rooms. The licensee did not comply with the section cited above for resident (R3) according to physcian's report and fire clearance. This poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 01/09/2025 Plan of Correction Administrator states that one resident is actually ambulatory and will meet with doctor to update physician's report. She also plans to have residents switch rooms and will send proof to CCLD via email to eboni.bentley@dss.ca.gov by Jauary 9, 2025

Official classification

Type B

Official code

87457(c)

Regulation authority

CCR

What the official deficiency says

(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of his/her individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in five out of five resident files (R1-R5), which posed a potential health, safety or personal rights risk to persons in care. LPA observed resident files missing pre-appraisals for all five residents.

Official plan of correction

POC Due Date: 01/09/2025 Plan of Correction Administrator states that she will complete pre-appraisals for all five residents (R1-R5) and will send proof to CCLD via email to eboni.bentley@dss.ca.gov by Jauary 9, 2025

Official classification

Type B

Official code

87608(a)(5)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review and interview, the licensee did not comply with the section cited above in five out of five resident files (R1-R5), which posed a potential health, safety or personal rights risk to persons in care. LPA observed resident files missing bedrail physician's orders for all five residents.

Official plan of correction

POC Due Date: 01/09/2025 Plan of Correction Administrator states that she will acquire bedrail orders from doctor for all five residents (R1-R5) and will send proof to CCLD via email to eboni.bentley@dss.ca.gov by Jauary 9, 2025