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

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.