VIVANTE ON THE COAST

Official classification

Type B

Official code

87506(e)

Regulation authority

CCR

What the official deficiency says

Resident Records 87506(e ) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was not met as evidence by: AD informed LPA that they do not have access to documents from their previous system to see documents pertaining to R1s file. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee stated they will request access to the system to provide documents to LPA and send a statement of understanding by POC due date.

Deadline recorded: Apr 8, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

Basic Services 87464(f)(1) Basic services shall at a minimum include: Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement is not met as evidence by: The Licensee failed to identify fall preventative measures needed to meet R1’s needs resulting in R1 sustaining multiple falls and obtaining a fracture diagnosis on the last fall. This poses an immediate risk to resident’s health and safety.

Official plan of correction

SED stated interventions are put in place based on the fall risk assessment conducted by the Director Health Services. An in-service training will be conducted to ensure intervention measures are implemented for those residents identified as a fall risk. SED to provided proof of training to LPA.

Deadline recorded: Jan 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(c)(3)

Regulation authority

CCR

What the official deficiency says

Reappraisals 87463(c)(3) … the licensee shall document all of the following in the resident’s reappraisal: Interventions to be implemented to minimize the risks to the health and safety of the resident... This requirement is not met as evidenced by: The Licensee failed to document interventions to be implemented to minimize falls after identifying R1 as a fall risk. This poses a potential risk to resident’s health and safety.

Official plan of correction

SED stated in-service training will be conducted to ensure intervention measures are documented in the resident's file.

Deadline recorded: Jan 30, 2026. A deadline is not proof that correction was completed.

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 observation, a one gallon bottle of bleach was stored under the kitchen prep sink in memory care unlocked and accesible by residents which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 10/16/2025 Plan of Correction AD stated in-service training will be conducted for culinatry and care staff in memory care. Beach was removed from the memory care area. Facility to email proof to LPA by POC due date.

Official classification

Type A

Official code

87412(e)

Regulation authority

CCR

What the official deficiency says

87412 Personnel Records (e) In all cases, personnel records shall demonstrate adequate staff coverage necessary for facility operation by documenting the hours actually worked. (h) All personnel records shall be retained for at least three (3) years following termination of employment. This requirement was not met as evidenced by: Based on interviews and record review, staff assignments for 11/19/24 were not provided during the investigation as they were archived and only kept for 90 days.

Official plan of correction

Assistant Executive Director, Shores Program Director, North Executive Director, and Executive Director stated that an Acknowledgement of Understanding of the said deficiency will be submitted to LPA by POC due date.

Deadline recorded: Jul 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. This requirement was not met as evidenced by: Based on interviews and record review, the service plan for R1 was incomplete as it did not document behaviors from September 2024 to October 2024 and include how the facility will address the increase or frequency of R1’s aggressive behaviors

Official plan of correction

Assistant Executive Director, Shores Program Director, North Executive Director, and Executive Director agreed to submit proof of R1's appraisal, conduct an inservice with staff, and submit an Acknowledgment of Understanding of the said deficiency by POC due date.

Deadline recorded: Jul 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87211(a)(1)

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 requirement was not met as evidenced by: Based on record review, facility did not furnish written incident reports to the Department involving R1 since 8/13/24 with the exception of the incident on 11/19/24.

Official plan of correction

Assistant Executive Director, Shores Program Director, North Executive Director, and Executive Director stated that proof of in-service training covering reporting requirements will be submitted to LPA by POC due date.

Deadline recorded: Jul 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidenced by: Based on interviews and record review, licensee did not find a solution necessary to prevent and address R2’s behavior needs (i.e. aggressive behaviors) resulting in R1 sustaining injuries from the assault due to lack of care and supervision.

Official plan of correction

Assistant Executive Director, Shores Program Director, North Executive Director, and Executive Director stated that R2 was reassessed, sent to pscyh eval, and a private caregiver was retained by R2's family. The above individuals indicated that a psych eval will be conducted upon admission if needed as well as ensure sufficient coverage of staffing to meet the residents needs and an Acknowledgement of Understanding of the said deficiency and the above statement will be submitted to LPA by POC due date.

Deadline recorded: Jul 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis except as specified in Sections 87469(c)(2), (c)(3), or (c)(4). This requirement was not met as evidenced by: Based on interviews and record review, R1 complained of pain at the time of the physical assessment after the fall and continued to express pain resulting in a 3-hour delay to seek medical attention.

Official plan of correction

Assistant Executive Director, Shores Program Director, North Executive Director, and Executive Director stated that proof of an in-service training covering 911 calls in the event of an incident/emergency and an Acknowledgement of Understanding of the said deficiency will be submitted to LPA by POC due date.

Deadline recorded: Jul 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87224(a)

Regulation authority

CCR

What the official deficiency says

The California Code of Regulations Section 87224(a) regarding Eviction Procedures states that: " (a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required " . This requirement was not met as evidenced by the fact that the facility requested the removal of reisdent R1 from the facility's premises while resident was still under the facility's responsibility without the required thirty day written notice. This deficiency constitutes a potential risk to the health, safety or personal rights of the individual in care.

Official plan of correction

Licensee will attest that regulations pertaining to Eviction Procedures are reviewed and applied as indicated in the facility's Admission Agreement and Plan of Operations.

Deadline recorded: Mar 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

The California Code of Regulations Section 87468.1(a)(2) on the Personal Rights of Residents in All Facilities states that residents have a right " To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. " This requirement was not met as evidenced by: Based on interviews and a review of available records, facility failed to provide resident R1 with adequate accomodations while resident was in care at the facility. This poses a potential risk to health, safety and personal rights of individuals in care.

Official plan of correction

Licensee will ensure to fulfil their regulatory requirements of ensuring appropriate accomodations or adequate alternate solutions are offered whenever the terms of admission need to be revised.

Deadline recorded: Nov 29, 2022. A deadline is not proof that correction was completed.