ROYAL GARDENS ELDER CARE

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

Observation of the Resident The licensee... that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided... The Licensee did not meet the above requirement as evidenced by: R1 had a bar of soap inside their vagina which was not discovered until R1 was at the hospital. This posed an immediate risk to the health, safety and personal rights of residents in care.

Official plan of correction

Designee to conduct a staff training today regarding preventing prohibited toxic/hazardous materials to be left accessible to residents in care. Designee to submit content of training and signature sheet to CCL by close of business tomorrow at CCLASCPSacrmentoSouthRO@dss.ca.gov, attention LPA Viarella.

Deadline recorded: Dec 11, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)

Regulation authority

CCR

What the official deficiency says

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Deficient Practice Statement 4 out of 4 staff members were background cleared. No deficiency was cited. No civil penalty was assessed.

Official plan of correction

POC Due Date: 03/08/2024 Plan of Correction N/A

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (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 This requirement is not met as evidenced by: Deficient Practice Statement Based on a tour of the exterior of the facility, the licensee did not comply with the section cited above when the LPA observed the broken fence in the backyard, the debris stored on the side of the shed, and the side gate that required someone else to open because it stuck. These concerns poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/02/2024 Plan of Correction Designee stated that all repairs will be completed by 04/02/24 and that a photo will be submitted to Licensing at kimberly.viarella@dss.ca.gov as proof of correction.

Official classification

Type B

Official code

87208(a)(7)(A)

Regulation authority

CCR

What the official deficiency says

Plan of Operation (a) Each facility shall have and maintain a current, written definitive plan of operation. The plan and related materials shall be on file in the facility and shall be submitted to licensing ...for approval. The plan and related materials shall contain the following: (7) Sketches, showing dimensions, of the following: (A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended... The Licensee did not comply with the above regulation as evidenced by: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, and record review, the licensee did not comply with the section cited when they changed the way rooms at the facility were being used. Staff rooms were switched to resident rooms and resident rooms were swapped for staff rooms. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/13/2024 Plan of Correction The Designee will contact the Fire Department to update and confirm changes or to schedule an inspection. Any newdocuments will be be submitted to Licensing at kimberly.viarella@dss.ca.gov.

Official classification

Type B

Official code

87421(f)

Regulation authority

CCR

What the official deficiency says

Personnel Records - All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, nterview, record review, the licensee did not comply with the section cited above when they were unable to provide an LIC 500 upon request by this department. This poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2024 Plan of Correction Designee stated that she will have the LIC 500 printed and posted by white board adjacent to the kitchen. Designee witll submit the LIC 500 along with a photo to Licensing at kimberly.viarella@dss.ca.gov of the LIC 500.

Official classification

Type A

Official code

87303(e)(3)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (3) Taps delivering water at 125 degree F (52 degrees C) or above shall be prominently identified by warning signs. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA testing of hot water temperature, the licensee did not comply with the section cited above as the temperature recorded during the inspection measured 136 degrees F in the resident bathroom which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/04/2023 Plan of Correction Facility staff have turned down the hot water temperature on the water heater. Faclity will obtain a thermometer and test the hot water tempertaure weekly and record the results and sent to LPA to verify the hot water tempertaure meets regulations of 105 to 120 degrees F.