RIALTO ASSISTED LIVING

Official classification

Type A

Official code

87755(c)

Regulation authority

CCR

What the official deficiency says

87755(c)Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours.... and 87508(b). This requirement was not met as evidenced by: Based on observation, interview and limited record review, the administrator did not comply with the section cited above by not providing access to the requested records to LPA due to staff present not having access which poses an immediate health, safety and personnal rights risk to persons in care.

Official plan of correction

Administrator stated that he will review regulation cited and submit a statement of understanding to LPA via email by POC due date.

Deadline recorded: May 21, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. 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 2 out of 7 staff files by not ensuring each staff maintained a Health Screening Report in their Personnel file, LPA did observed a TB test results which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/13/2026 Plan of Correction Administrator agrees to review each staff file and ensure each file has a health screening and TB test result available for review. Administrator will review the regulation and complete a statement of understanding to LPA by POC due date.

Official classification

Type B

Official code

87303(e)(6)

Regulation authority

CCR

What the official deficiency says

(6) Toilet, handwashing and bathing facilities shall be maintained in operating condition. Additional equipment shall be provided in facilities accommodating physically handicapped and/or nonambulatory residents, based on the residents' needs. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by not ensuring the resident shower was not maintained as a storage for a wheelchair, covered toilet commode, and other assisted devices which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/19/2026 Plan of Correction Administrator agrees to clear that area and make it free of storage and maintain it as a bathing space only. Administrator agree to secure a space in the residents room for assisted medical walking and hygiene devices. Administrator will review regulation, conduct a training, and complete a statement of understanding to LPA by POC due date.

Official classification

Type B

Official code

87465(d)

Regulation authority

CCR

What the official deficiency says

(d) If the resident is unable to determine his/her own need for a prescription or nonprescription PRN medication, and is unable to communicate his/her symptoms clearly, facility staff designated by the licensee, shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the Administrator did not comply with the section cited above in 2 out of 7 residents by not maintaining an accurate MARs log free of errors and missing a Med-Tech initial stating a medication had been dispensed and or a prescribed medication was not listed on the residents MARs which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/26/2026 Plan of Correction Administrator agrees to conduct an audit of the MARs and ensure the Med-Tech are initialing the documents and providing an explanation of missing signature or initials according to regulations. Administrator will conduct a training on common medication error with staff and submit a training log to LPA with a statement of understanding by POC due date.

Official classification

Type B

Official code

87463(h)

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. 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 2 out of 7 residents. LPA observed 2 residents were missing a current Physician Report which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/12/2026 Plan of Correction Administrator agrees to review all residents file and schedule or complete a Physician Report within the next 30 days. Administrator will review and complete a statement of understanding for the regulation cited above and submit to LPA by POC due date.

Official classification

Type B

Official code

1569.695(e)(2)

Regulation authority

HSC

What the official deficiency says

(e) A facility shall have all of the following information readily available to facility staff during an emergency: (2) An appraisal of resident needs and services plan for each resident. 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 7 residents by not ensuing the facility maintained a current Needs and Service Plan for each resident in care which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/26/2026 Plan of Correction Administrator agrees to review each residents file to update and ensure a Needs and Service Plan is completed annually. Administrator will review the regulation and submit a statement of understanding to LPA by POC due date.

Official classification

Type A

Official code

87463(C)

Regulation authority

CCR

What the official deficiency says

87463(C)Behavioral expression, as defined in..that may result in harm to self or others,..unsafe wandering, elopement,..lacking in hazard awareness, or lacking in impulse control. Based on observation, record review, and interviews, the licensee did not comply with the section cited above by not ensuring resident did not leave the facility unassisted.

Official plan of correction

Licensee agrees to provide care and supervsion as needed to ensure a safe environment for residents in care. Licensee agrees to complete a reappraisal to ensure resident is safe from wandering and elopement.

Deadline recorded: May 14, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(e)

Regulation authority

CCR

What the official deficiency says

(e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician on a prescription blank, maintained in the resident's file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. 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 above in 1 out of 5 residents in care by not ensuring the MARS contains current and accurate information regarding residents medication. One resident MARS was missing two medications that was prescribed by the physician which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/07/2025 Plan of Correction Licensee agrees to complete a training on the proper procedure for ensuring the medication is logged on the MARS. Provide proof of training log for staff and proof of the regulation review by all staff by POC date.

Official classification

Type A

Official code

87632(d)(2)

Regulation authority

CCR

What the official deficiency says

(2) The licensee shall notify the Department in writing within five working days of the initiation of hospice care services for any terminally ill resident in the facility or within five working days of admitting a resident already receiving hospice care services. The notice shall include the resident's name and date of admission to the facility and the name and address of the hospice. 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 above for 4 out of 8 residents in care by ensuring that the facility attained and or completed the required step to aquire a hospice waiver increase from 4 to 8 resident receiving hospice care which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/11/2025 Plan of Correction Licensee agrees to complete the hospice waiver increase to be in complaince with the regulations by POC date.

Official classification

Type B

Official code

87548(a)

Regulation authority

CCR

What the official deficiency says

87548 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. This requirement is not met as evidenced by: Deficient Practice Statement Based on record reviews the licensee did not comply with the section cited above by not ensuring each resident had an updated Physician's Report (LIC602) completed and included in each resident file for two, (2) residents which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 02/26/2024 Plan of Correction Administrator/Licensee agree to assist the resident's with making and keeping an appointment with their Primary Physicians' to get each of their Physician's Reports completed. Administrator/Licensee agrees to send confirmation these LIC602 forms have been completed to the Community Care Licensing Office within the next 30 business days.

Official classification

Type B

Official code

87411(c)(1)

Regulation authority

CCR

What the official deficiency says

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (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 record reviews, the licensee did not comply with the section cited above by not ensuring a member of the staff had all required documented training; which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 07/20/2023 Plan of Correction Administrator will assist staff in getting their CPR/First Aid Certificate updated to good standing. Once completed Administrator will submit verfication of CPR/First Aid training to the Community Care Licensing Office within the next 30 business days.

Official classification

Type A

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 visitors. This requirement was not met as evidenced by: Based on interviews and observations, the Licensee failed to ensure that at least 1 out of 48 rooms were kept clean and sanitary at all times. This is poses an immediate health risk to residents.

Official plan of correction

There is POC due as the facility there is no longer a bed bug infestation. A copy of treatment invoices were provided to LPA.

Deadline recorded: May 12, 2023. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.157(a)

Regulation authority

HSC

What the official deficiency says

1569.157. Resident-oriented facility council. (a) Every licensed residential care facility for the elderly, at the request of two or more residents, shall assist the residents in establishing and maintaining a single resident council at the facility. The resident council shall be composed of residents of the facility. Family members, resident representatives, advocates, long-term care ombudsman program representatives, facility staff, or others may participate in resident council meetings and activities at the invitation of the resident council. This requirement was not met based on interviews conducted. The licensee did not comply with the section cited above allowing a staff member to be present in resident council meeting without an invitation to the meeting.

Official plan of correction

The licensee has agreed to read regulation 1569.157 entirely and send LPA a self-certify letter via email, fax, or post mail that the regulation was read and understood.

Deadline recorded: Aug 9, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(1)

Regulation authority

CCR

What the official deficiency says

87468.1.Personal Rights of Residents in All Facilities. (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met based on interviews conducted. The licensee did not comply with the section cited above allowing a staff to voice unwarranted opinions on a resident manor during a resident council meeting.

Official plan of correction

The licensee has agreed to read regulation 87468.1 entirely and send LPA a self-certify letter via email, fax, or post mail that the regulation was read and understood.

Deadline recorded: Aug 9, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(27)

Regulation authority

CCR

What the official deficiency says

General Food Service: All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. The facility is not meeting this requirement as evidenced by: Information was received through interviews that the facility kitchen has cockroaches, that bedrooms have ants and earwigs.

Official plan of correction

Licensee to contact their pest control company (Dewey) for consultation and development of an addendum to the plan to eradicate pest control issues in the kitchen as well as residents rooms. Provide LPA with the addendum to the Dewey pest control contract.

Deadline recorded: Jun 13, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(a)(3)(C)

Regulation authority

CCR

What the official deficiency says

Personal Accommodations and Services: (a) Living accommodations...shall be related to the facility's function...The following provisions shall apply: (3)...the licensee shall assure provision of: (C)...bath towels, hand towels and wash cloths. The quantity shall be sufficient... This requirement was not met by: Based on interviews and internal audit, the Licensee did not comply with the above regulation with at least one category of item. LPA Colvin confirmed that the facility did not have a sufficient supply of towels, as there was only one spare clean towel. This was a potential health risk to all residents in care.

Official plan of correction

Licensee agrees to institute a regular audit of the facility's linens and towels to ensure that the facility has plenty of supplies at all times. Licensee to submit an updated Program Plan (Adendum) which includes which staff role is responsible for the audit, how frequently it will occur, and what number of items need to be available at all times. Porgram Plan Adendum to be submitted to LPA Colvin by the Plan of Correction date of 12/31/21. Along with the Adendum, the Licensee shall submit their first audit of the towels/linens.

Deadline recorded: Dec 31, 2021. 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

Personal Accommodations and Services: (d) The following space and safety provisions shall apply to all facilities: (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 by: Based on interviews and record review, the Licensee did not comply with the above regulation with at least one area of the facility. LPA Colvin confirmed that Room #32 was in a state of disrepair for over 3 weeks, leaving the occupant displaced. This was a potential personal rights violation of the occupant.

Official plan of correction

Licensee agrees that in the future, all repairs will be completed within a timely manner, especially when the repair directly affects a resident. Licensee to provide LPA Colvin with a Statement of Understanding of this expectation by the Plan of Correction date of 12/31/21.

Deadline recorded: Dec 31, 2021. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(27)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in... Facilities : (a) In addition to the rights listed...residents...shall have all of the following personal rights: (27) To keep, have access to, and use their own personal possessions...and to keep and be allowed to spend their own money... This requirement was not met by: Based on interviews and record review, the Licensee did not comply with the above regulation with at least 4 residents. LPA Colvin observed 4 residents did not have access to their April 2020 P & I until 4/9/20, six days after the Licensee received the checks. This was a potential personal rights violation.

Official plan of correction

Licensee to submit plan to LPA Colvin to ensure that residents have access to their funds upon request. Possible solutions include: Giving other staff access/ability to cash checks; loaning residents funds from facility petty cash until their checks can be cashed; ensuring that checks are cashed in a timely manner. Licensee to provide LPA Colvin with plan by the Plan of Correction date of 12/31/21.

Deadline recorded: Dec 31, 2021. 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

Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interviews and observation, the Licensee did not comply with the above regulation with at least one aspect of the facility. LPA Colvin confirmed that the wing of the facility near the exit which leads to the smoking section smells like cigarettes. This is a potential person right violation of residents.

Official plan of correction

Licensee to evaluate options on how they can address the concerns with the facility smelling like cigarettes. LPA Colvin reccomends for the Licensee to include residents (including those who smoke) in the discussion, for opportunity to hear all resident opinions or concerns. Licensee to provide LPA Colvin with plan on how this issue will be address. Plan due to LPA Colvin by Plan of Correction date of 12/31/21.

Deadline recorded: Dec 31, 2021. 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

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 visitors. This requirement was not met by: The Licensee did not comply with the above regulation with at least one area of the facility. LPA Colvin observed that paper towels in the common bathroom are stored on the counter, and not in the dispenser which is on the wall. This is a potential health risk to all persons.

Official plan of correction

Licensee agrees to utilize another means for persons using the common bathroom sink to dry their hands without concern of contamination from other persons (i.e. paper towel dispenser, air dryer, etc.). Licensee to provide LPA Colvin with plan and photographic proof of utilization by Plan of Correction date.

Deadline recorded: Dec 31, 2021. 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

Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the above regulation with at least one resident. LPA Colvin learned that R1 has hit residents & staff with their electric scooter on multiple occasions. There is no record of facility intervention. This is an immediate safety risk.

Official plan of correction

Licensee agrees to address the reported concern with staff and residents in order to determine if this concern is still an issue. If the issue is still present, the facility shall address it accordingly with R1 and R1's POA. If the issue is no longer present, the Licensee agrees to hold a meeting with the residents to remind them of safety practices when operating an electric device (wheelchair or scooter) and that misuse of such devices may result in additional action from the facility, such as eviction. Licensee to provide LPA Colvin with an update on status of issue, and may self-certify once facility meeting has been completed.

Deadline recorded: Dec 20, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

Additional Personal Rights of Residents in...Facilities : (a) In addition to the rights listed...residents... shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs... This requirement was not met as evidenced by: Based on record review and interviews, the Licensee did not comply with the above regulation with one resident (R2). LPA Colvin learned that R2 had a change in condition, and their facility Care Plan was not updated. Staff additionally failed to immediately provide R2 with life saving measures. This was an immediate health risk for R2.

Official plan of correction

Licensee agrees to have all staff re-trained on what to do in a medical emergency. Licensee additionally to review all current resident files and ensure that their Care Plans are up to date and accurately reflect the services needed by the residents and who they are provided by (Home Health, Hospice, Facility Staff). Licensee to provide LPA Colvin with proof of staff training and may self-certify once review of resident records is complete. Plan of Correction due 12/20/21.

Deadline recorded: Dec 20, 2021. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87466

Regulation authority

CCR

What the official deficiency says

Observation of the Resident:...shall ensure that residents are regularly observed for changes...and that appropriate assistance is provided...the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This regulation was not met by: Based on interviews and record review, the Licensee did not comply with the following regulation in that Administrator observed resident to have a significant change in condition and did not re-evaluate for level of care, resulting in infected wound. This was an immediate risk to R1.

Official plan of correction

Administrator and all care staff to complete training on observations of residents, including changes in condition and warning signs of possible undiagnosed underlying medical conditions. Administrator to additionally ensure all current residents have updated Needs & Services Plans. If any residents have Needs & Services Plans that are older than 1 year, the Administrator shall evaluate the resident and update their Needs & Services Plans in accordance with Title 22 Regulation Section 87463. Administrator to provide LPA Colvin with proof of training for self & all care staff by 12/20/21.

Deadline recorded: Dec 20, 2021. A deadline is not proof that correction was completed.