PARK REGENCY RETIREMENT CENTER

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 documents, the facility's liability insurance certificate is expired and there is no certificate confirming the insurance is still active, which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2026 Plan of Correction Licensee stated they will submit a copy of the current insurance certificate 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 documents, the licensee did not ensure S4 and S6 who are new have documented 40 hours initial training, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2026 Plan of Correction Licensee stated they will complete the training for these two staff and submit proof to LPA by POC due date.

Official classification

Type B

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 documents, the licensee did not ensure S2, S3, and S5 have documented 20 hours continuing annual training, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2026 Plan of Correction Licensee stated they will complete the training for these staff and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure S2, S3, S4, S5, and S6 had current first aid training, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2026 Plan of Correction Licensee stated they will renew the first aid training for these staff and submit proof to LPA by POC due date.

Official classification

Type B

Official code

1569.69(a)(1)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (1) In facilities licensed to provide care for 16 or more persons, the employee shall complete 24 hours of initial training. This training shall consist of 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure medication technicians S4 and S6 had documented medication training, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2026 Plan of Correction Licensee stated they will complete the medication training for these staff and submit proof 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, R6, R7, R8, R9, and R10 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: 09/24/2026 Plan of Correction Licensee stated they will obtain new physician's reports on the new form for these residents and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

(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. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure R1, R2, R3, R4, R6, R7, R8, and R10 were reappraised within the last year as their appraisals are all over a year old, which poses a potential safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 09/24/2026 Plan of Correction Licensee stated they will reappraise these residents and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87463(h)(1)

Regulation authority

CCR

What the official deficiency says

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. (1) Documentation of the annual routine visit, such as a visit summary, shall be added to the resident's record. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the physician's reports for R1, R2, R3, R5, R6, R7, R8, R9, and R10 are over a year old and there is no documentation of an annual routine visit, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 09/24/2026 Plan of Correction Licensee stated they will obtain new physician's reports for these residents on the new form and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal … shall be updated in writing as frequently as necessary … to note significant changes in condition … and to keep the appraisal accurate…. This requirement was not met as evidenced by: Based on admission, the licensee started, but did not complete, a reappraisal for R1 based on their change of condition, which poses a potential safety risk to persons in care.

Official plan of correction

Licensee stated they will create a protocol to ensure residents are reappraised timely and submit proof to LPA by POC due date.

Deadline recorded: Jul 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a) … (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record…. This requirement was not met as evidenced by: Based on interview and documents, the licensee used a wheelchair for R1 without a doctor’s order, which poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee stated they will retrain staff on postural supports requirements and submit proof to LPA by POC due date.

Deadline recorded: Jul 27, 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) … (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on documents, the licensee did not ensure R1 received assistance with medications when their dose of Sevelamer Carbonate was not documented as administered, which poses a potential health risk to persons in care. CIVIL PENALTY ASSESSED

Official plan of correction

Licensee stated they will conduct medication training and submit proof to LPA by POC due date.

Deadline recorded: Jun 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(i)(1)(A)

Regulation authority

CCR

What the official deficiency says

87303(i)(1)(A) – 87303 Maintenance and Operation (i) Facilities shall have signal systems which … (1) … (A) Operate from each resident's living unit... This requirement was not met as evidenced by: Based on documents, the licensee’s signal system malfunctioned, staff were supposed to conduct regular checks, but R1’s attempts to call staff went unanswered until a caregiver happened to check on R1, which poses a potential safety risk to persons in care.

Official plan of correction

Licensee stated they will create a protocol for regular checks if the signal system malfunctions, train staff on the protocol, and submit the protocol and training records to LPA by POC due date.

Deadline recorded: Jun 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(e)(4)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation … (e) … (4) Grab bars shall be maintained for each toilet; bathtub and shower used by residents. This requirement was not met as evidenced by: Based on admission and observation, the licensee did not ensure multiple rooms, including Rooms 165 and 206, have grab bars for the toilet, which poses a potential safety risk to persons in care.

Official plan of correction

Licensee stated they will create a list of all rooms without grab bars for the toilet, install grab bars in all these rooms, and submit proof to LPA by POC due date.

Deadline recorded: Jun 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 Reappraisals (a) The pre-admission appraisal … shall be updated in writing as frequently as necessary … to note significant changes in condition … and to keep the appraisal accurate…. This requirement was not met as evidenced by: Based on admission, the licensee started, but did not complete, a reappraisal for R1 based on their change of condition, which poses a potential safety risk to persons in care. CIVIL PENALTY ASSESSED

Official plan of correction

Licensee stated they will create a protocol to ensure residents are reappraised timely and submit proof to LPA by POC due date.

Deadline recorded: Jun 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

87608 Postural Supports (a) … (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record…. This requirement was not met as evidenced by: Based on interview and documents, the licensee used a wheelchair for R1 without a doctor’s order, which poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee stated they will retrain staff on postural supports requirement and submit proof to LPA by POC due date.

Deadline recorded: Jun 9, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

87463 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… This requirement was not met as evidenced by: Based on documents and admission, the licensee did not ensure R1 was reappraised yearly, which poses a potential safety risk to persons in care.

Official plan of correction

The licensee stated they will reappraise R1 and submit proof to LPA by POC due date.

Deadline recorded: Jan 19, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs… This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not ensure there were sufficient staff to meet residents’ needs, resulting in residents being left in soiled diapers, which poses an immediate personal rights risk to persons in care.

Official plan of correction

The licensee stated they have since increased their staffing levels, will create a plan to address future staffing shortages, and will submit proof to LPA by POC due date.

Deadline recorded: Dec 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

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… This requirement was not met as evidenced by: Based on documents and interview, the licensee did not ensure resident call buttons were answered timely and that these residents received the care they required in a timely manner, which poses a potential safety risk to persons in care. CIVIL PENALTY ASSESSED

Official plan of correction

The licensee stated they will retrain staff on addressing resident calls for assistance and submit proof to LPA by POC due date.

Deadline recorded: Jan 5, 2026. A deadline is not proof that correction was completed.

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… This requirement was not met as evidenced by: Based on observation and interview, the licensee did not take sufficient measures to address the facility’s leaking roof which has leaked multiple times previously, which poses a potential safety risk to persons in care.

Official plan of correction

The licensee stated they will submit a plan to permanently fix the roof to LPA by POC due date.

Deadline recorded: Dec 4, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(d)(2)

Regulation authority

CCR

What the official deficiency says

87307 Personal Accommodations and Services … (d) … (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met as evidenced by: Based on observation and interview, the licensee did not take proper measures to address potential mold after a significant roof leak, which poses a potential health risk to persons in care.

Official plan of correction

The licensee stated they will have the affected areas tested for mold and will ensure water damaged areas are timely tested for mold in the future.

Deadline recorded: Nov 20, 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… This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not provide additional care necessary to address R1’s increased fall risk in light of their increased weakness resulting in a fall and hospitalization, which poses an immediate safety risk to persons in care.

Official plan of correction

The licensee stated will submit a plan to ensure R1’s fall risk needs are met by POC due date.

Deadline recorded: Sep 20, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.17(c)(1)(A)

Regulation authority

HSC

What the official deficiency says

(c)(1)(A) Subsequent to initial licensure, a person specified in subdivision (b) who is not exempted from fingerprinting shall obtain either a criminal record clearance or an exemption, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in a facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on Guardian records, the licensee did not ensure S1 was background cleared prior to working at the facility for the last two years, which poses an immediate safety risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

POC Due Date: 08/23/2025 Plan of Correction During the inspection, the licensee removed S1 from the facility and LPA confirmed. Licensee stated they will ensure S1 is background cleared prior to returning to work.

Official classification

Type B

Official code

1569.69(a)(1)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (1) In facilities licensed to provide care for 16 or more persons, the employee shall complete 24 hours of initial training. This training shall consist of 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure S2, who is a medication technician, had documented medication training, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 09/19/2025 Plan of Correction Licensee stated they will review PIN 23-16-ASC, complete S2's medication training, and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and documents, the licensee did not ensure R1 received their Quetiapine 0.5MG on August 14, 2025 as the pill was still in the bubble pack and the MAR was blank and there is no indication of refusal, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 09/19/2025 Plan of Correction Licensee stated they will notify the resident's doctor and conduct medication retraining and submit proof to LPA by POC due date.

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) … (3) To be free from punishment, humiliation, intimidation, abuse… This requirement was not met as evidenced by: Based on observation and interviews, the licensee did not ensure R1 was free from abuse when S1 and S2 forced care on R1 resulting in skin tears and a large bruise, which poses an immediate personal rights risk to persons in care. CIVIL PENALTY ASSESSED.

Official plan of correction

The licensee stated they have already conducted staff training on resident refusals, providing care, and personal rights and will submit proof to LPA by POC due date. This is an amended report

Deadline recorded: Aug 15, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(a)(4)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care. (a) … (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on documents and interviews, the licensee did not ensure R1 received one medication for multiple days and R2 received all of their medications for one day, which poses an immediate health risk to persons in care.

Official plan of correction

The licensee stated they will notify these residents’ doctors of these medication errors, retrain staff on assisting residents with medications, and submit proof to LPA by POC due date.

Deadline recorded: Jun 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(a)

Regulation authority

CCR

What the official deficiency says

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator.... This requirement was not met as evidenced by: Based on admission, the licensee does not have a certified administrator, which poses a potential safety risk to persons in care.

Official plan of correction

Licensee stated they will submit an LIC308, board resolution, administrator certificate, resume, and driver’s license for a new administrator to LPA by POC due date.

Deadline recorded: Jul 10, 2025. A deadline is not proof that correction was completed.

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… This requirement was not met as evidenced by: Based on observation, the licensee did not ensure one resident’s bathroom was sanitary and in good repair when water damage was not repaired, which poses a potential health risk to persons in care.

Official plan of correction

The licensee stated they will repair the bathroom and ensure there is no mold and submit proof to LPA by POC due date.

Deadline recorded: Jun 2, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This req is not being met as evidenced by: Based on observation and interviews conducted, Licensee failed to ensure residents are afforded safe and healthful accommodation's. Facility has multiple physical plant issues as noted in LIC 9099. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee to read the regulation and forward a statement of understanding to LPA by POC due date.

Deadline recorded: Oct 11, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.618(b)

Regulation authority

HSC

What the official deficiency says

(b) At least one administrator, facility manager, or designated substitute who is at least 21 years of age and has qualifications adequate to be responsible and accountable for the management and administration of the facility pursuant to Title 22 of the California Code of Regulations shall be on the premises 24 hours per day. The designated substitute may be a direct care staff member who shall not be required to meet the educational, certification, or training requirements of an administrator. The designated substitute shall meet qualifications that include, but are not limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on documents, the administrator was changed in October 2023 but not all documents LPA requested were provided and the administrator still has not been updated, which poses a potential safety risk to persons in care.

Official plan of correction

POC Due Date: 09/11/2024 Plan of Correction Licensee stated they will submit all required documents to LPA by POC due date.

Official classification

Type B

Official code

87156(a)

Regulation authority

CCR

What the official deficiency says

87156 Licensing Fees (a) An applicant or licensee shall be charged fees as specified in Health and Safety Code section 1569.185. This requirement was not met as evidenced by: Deficient Practice Statement Based on documents, the licensee has not paid their licensing fees for multiple years which are now past due, which poses a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/11/2024 Plan of Correction Licensee stated they will pay the licensing fees and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements – General …(c) … (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement was not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure S1, S2, and S3 had current first aid training as their certificates were expired, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 09/11/2024 Plan of Correction Licensee stated they will have these staff renew their first aid training and submit proof to LPA by POC due date.

Official classification

Type B

Official code

87705(c)(5)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia … (c) … (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually... This requirement was not met as evidenced by: Deficient Practice Statement Based on documents, the licensee did not ensure R1, who has dementia per their most recent Physician’s Report dated 01/30/23, received an annual medical assessment, which poses a potential health risk to persons in care.

Official plan of correction

POC Due Date: 09/11/2024 Plan of Correction Licensee stated they will have a new physicians report completed for R1 and conduct an audit of all residents to ensure residents with dementia are having physician’s reports and reappraisals completed annually and will submit proof to LPA by POC due date.

Official classification

Type A

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 being met as evidenced by...CONTINUED BELOW On 1/13/2023, between 9:34am- 10:29am, LPA Quiroz observed dark colored stains, bubbling of ceiling, patches, open ceiling areas and tarped areas in facility hallways on first and second floor throughout the facility, diningroom areas, kitchen area and the following rooms: CONTINUED...

Official plan of correction

Senior Vice President of Operations John Bowen agreed to submit proof of roof repair project plan along with email communication between facility and landlord of building regarding roof repair initial request and plans to repair by COB 1/16/2023. 159, 169, 239, 245, 247, 243, 213, 221, 226, 255. This was verified with (MCD) Abap and (MD) Garcia throughout today's facility inspection visit. (MD) Garcia indicated " Trying my best with the leaking but this is a roofing problem. " This poses an immediate health and safety risk to residents in care.

Deadline recorded: Jan 16, 2023. A deadline is not proof that correction was completed.