LA VIDA REAL

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements – General. 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 record review, the licensee did not respond to 2 out of 124 [R2;-R6] residents’ requests for assistance in a timely manner. Some residents waited more than 30 minutes for staff to respond to and restore pendants. This poses a potential health and safety risk to residents in care.

Official plan of correction

The Executive Director stated they will conduct In-Service training on response times and resetting the call button. Proof of training due by POC due date.

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

Official classification

Type B

Official code

87465(i)

Regulation authority

CCR

What the official deficiency says

Incidental Medical and Dental Care. Prescription medications which are not taken with the resident upon termination of services, not returned to the issuing pharmacy...shall be destroyed in the facility by the facility administrator and one other adult who is not a resident. Both shall sign a record, to be retained for at least three years, which lists the following: Based on interviews, the licensee did not ensure the medications were destroyed by the Administrator for 121 out of 121 [R1;-R121] residents, which poses a potential health and safety risk to residents in care.

Official plan of correction

The Executive Director stated they will apply for a waiver for medication destruction to appoint staff to destroy medications. Waiver due by POC due date.

Deadline recorded: Jan 19, 2026. 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 as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as in evidence: Based on interviews and record reviews the licensee did not provide R1 with supervision in 1 of 124 people in care which posed an immediate health and safety risk to persons in care.

Official plan of correction

Licensee states that after the incident, all care staff and receptionist received training on elopment. Licensee states they will attain certified outside sourced training for all staff in regards to elopement and will provide proof of scheduled training via email to LPA.

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

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2 (a) ...residents in privately operated residential care facilities ... shall have all of the following personal rights: (4)To ...services that meet their individual needs and are delivered by staff that are sufficient in numbers... and competency to meet their needs. This requirement was not met as in evidence: Based on interviews and record reviews the licensee did not provide R1 with services that met their individual need in 1 of 124 people in care which posed an potential safety risk to persons in care.

Official plan of correction

Licensee states they will provide certified outside source training for all staff in regards to meeting resident individual needs and will provide proof to LPA via email.

Deadline recorded: Jan 2, 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

87464 Basic Services.(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 in evidence: Based on interviews and records reviewed the licensee did not provide assitance in feeding in 1 of 126 persons in care (R1) which posed a potential Health and personal rights risk to persons in care.

Official plan of correction

Licensee states staffing has been adjusted as of July 2025 and will provide staff with inservice training regarding resident change in conditions. Licensee will provide LPA with training documentation by POC date.

Deadline recorded: Sep 19, 2025. 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

(a) (4) The licensee shall assist residents with self-administered medications as needed. This requirement was not met as in evidence: Based on records and interviews the licensee did not assist resident with prescribed medication in one out of 126 (R1) persons in care which posed a potential health risk to persons in care.

Official plan of correction

Licensee states that medication training is scheduled for the following week and will provide LPA with documentation of such.

Deadline recorded: Aug 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)

Regulation authority

CCR

What the official deficiency says

(a)... licensee shall furnish to the licensing agency... reports... including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. Based on records the licensee did not provide the licensing agency with twenty five incident reports within 7 days of occurrence in which posed a safety risk to persons in care.

Official plan of correction

Licensee states they will provide training to all staff that are reponsible for complete reporting documentation and will provide documention of such to LPA.

Deadline recorded: Aug 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

(a) residents in privately operated residential care facilities shall have all of the following...: (4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as in evidence; Based on interviews and records the licensee did not provide supervision and care to one resident in care (R1) of which posed a potential Health, Safety, and Personal Rights risk to persons in care

Official plan of correction

Licensee states they will conduct a re-training on resident monitoring by POC date.

Deadline recorded: Aug 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87625(b)(3)

Regulation authority

CCR

What the official deficiency says

Managed Incontinence- b).... the licensee shall be responsible for the following (3) Ensuring that incontinent residents are kept clean and dry and that the facility remains free of odors from incontinence.This requirement was not met as in evidence: Based on observations and records reviewed the licensee did not did not keep R1's room free of odors from incontinence in 1 of 120 persons in care which poses a potential personal rights risk.

Official plan of correction

Licensee agrees to make R1's room clear of any urine odors by POC date.

Deadline recorded: Mar 21, 2025. 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(a)Residents.... shall have... the following personal rights: (1)To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met as evidence in that: Based on interviews the licensee did not accord residents with dignity in 3 of 120 #persons in care (R1, R2, R3) which posed a Personal Rights risk to persons in care.

Official plan of correction

Licensee agrees to provide resident personal rights specifically to be accorded dignity in their personal relationships with staff by plan of correction date to LPA.

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

Official classification

Type B

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

Personnel Requirements-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 evidence by: Based on interviews and records reviewed the licensee did not provide suffient staffing to respond timely to 1 of 65 persons in care [R1] which posed a potential Personal Rights risk to persons in care.

Official plan of correction

Licensee is actively working on resident response time with carestaff and management. Licensee agrees to provide proof of action taken to LPA via email.

Deadline recorded: Sep 11, 2024. 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. Based on interviews and records reviewed the licensee did not assist R1 with medication in 1 of 65 persons in care [R1] which posed a potential Personal Rights risk to persons in care.

Official plan of correction

Licensee agrees to provide a training for medication to all care staff within two weeks and provide proof to LPA via email.

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

Official classification

Type B

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 interviews and records, during the incident in question, Licensee did not ensure facility personnel were sufficient in numbers to provide the services necessary to meet the needs of 1 of 115 residents (R1), which posed a potential health and safety risk to persons in care.

Official plan of correction

License agreed to retrain its current direct care staff on the following expectations: a) The posted shift end time is the time staff should physically depart the caregiving floor to walk to the timeclock, not the time staff clock out; b) The posted shift start time is the time staff should physically arrive on the caregiving floor after they have walked there from the timeclock; c) Shift leaders (i.e., nurses and med aides) should monitor for any late arrival notices from incoming staff, and ask for volunteers from the outgoing shift to stay on longer, if possible, until the late person arrives, particularly if the shift in that area is already running lean; and, d) Excessive occurrences of tardiness may warrant discipline according to company policy. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date.

Deadline recorded: Feb 9, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(e)(5)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (5) Non-skid mats or strips shall be used in all bathtubs and showers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in 5 of 8 resident rooms, which poses a potentia safety risk to persons in care.

Official plan of correction

POC Due Date: 01/29/2024 Plan of Correction Director David Armour agreed to perform a room inventory and purchase non-skid mats for the residents rooms. Director agreed to then submit photographic evidence to LPA by the POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303(a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times… this requirement was not met as evidence by: Based on documentation, staff did not fix R1’s toilet tank cover timely resulting in worms breeding inside the tank. This posed a potential personal rights risk to 1 of 306 [R1] residents in care.

Official plan of correction

Due to LPA observations during the visit, the POC has been cleared.

Deadline recorded: Nov 17, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance: “(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: (1) Obtain a California clearance or a criminal record exemption as required by the Department…” This requirement was not met, as evidenced by: Based on records and interviews: Licensee did not ensure that S1 (who was subject to a criminal record review) obtained a California clearance or a criminal record exemption prior to working at the facility, which posed an immediately safety risk to persons in care.

Official plan of correction

Manager interview and employment records corroborate that S1’s employment at the facility was terminated on 09/19/2023. This action resolves the deficiency.

Deadline recorded: Sep 27, 2023. A deadline is not proof that correction was completed.