ROYAL SENIOR LIVING

Official classification

Type A

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

Incidental medical and dental care 87465(a)(1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidence by: R1 was diagnosed with a stage 3 pressure injury on November 19, 2022. Staff did not notice or seek assistance until the injury was stage 3. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to train staff on CCR 87465 and to submit proof of training to LPA. Licensee agrees to sign a statement of understanding, stating that they have read and understand CCR 87465.

Deadline recorded: Feb 5, 2026. 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

(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 evidence by: R1 was not changed timely which resulted in R1 sustaining a stage 2 pressure injury on their coccyx. This poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee agrees to train staff on CCR 87464 and to submit proof of training to LPA. Licensee agrees to sign a statement of understanding, stating that they have read and understand CCR 87465.

Deadline recorded: Feb 11, 2026. 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

a) Each licensee shall furnish to the licensing agency such reports... (1)(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 being met as evidenced by, Resident 2 suffered a fall on October 15, 2025 which required the resident to be treated at the hospital and the facility did not report the incident to the Agency (Community Care Licensing). This poses a potential health, safety and personal rights risks to residents in care.

Official plan of correction

Licensing agrees to report all incidents in compliance with CCR 87211 and to sign a statement of understanding stating they have read and understand CCR 87211. Licensee to submit proof to LPA by POC due date.

Deadline recorded: Nov 7, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(2)

Regulation authority

CCR

What the official deficiency says

87355(e)(2) All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department… This requirement was not met evidenced by: Based on a record review Staff 6 does not have a California clearance or a as required by the Department. This poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee agrees to have all staff background cleared/trasnferred and associated to the facility before allowing any staff to work at the facility. Licensee agrees to sign a statement of understanding of CCR 87355 and to provide the signed statement by the POC due date.

Deadline recorded: Nov 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(3)

Regulation authority

CCR

What the official deficiency says

87355 (e)(3) All individuals subject to a criminal record review... (b) shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on a record review Staff 7 does not have a transfer of their criminal record clearance as required by the Department. This poses an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Licensee agrees to have all staff background cleared/transferred and associated to the facility before allowing any staff to work at the facility. Licensee agrees to sign a statement of understanding of CCR 87355 and to provide the signed statement by the POC due date.

Deadline recorded: Nov 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87203

Regulation authority

CCR

What the official deficiency says

FIRE SAFETY: All facilities smoke detectors shall be maintained in conformity with the regs adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above, LPA observed the smoke detector in each hallway (2) are not operational which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/18/2024 Plan of Correction Licensee agrees to replace both smoke detectors in each hallway (2) and to submit proof to LPA by the POC due date.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 1 out of 1 residents, LPA observed R1 has a bed rail but does not have a docto's order for a bed rail, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/27/2024 Plan of Correction Licensee agrees to remove the bed rail and to only mount bed rails for any resident after receiving a doctor's order for a bed rail.

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 2 out of 2 staff members, LPA observed Staff 1 and Staff 2 did not have any current training documented, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/18/2024 Plan of Correction Licensee agrees to have both Staff 1 and Staff 2 trained as required by the regulation above and to submit proof of training to LPA >