Allegations3 substantiated · 1 unsubstantiated · 0 unfounded · 3 cited
Resident rightsType A
- Official classification
- Type A
- Official code
- 87468.2(a)(4)
- Regulation authority
- CCR
What the official deficiency says
(a)... residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers...to meet their needs. This requirement was not met as evidenced by: Based on interview and record review, the licensee did not ensure R1’s needs were met when R1 sustained multiple falls resulting in serious injury which poses an immediate Health, Safety, and Personal Rights risk to persons in care.
Official plan of correction
Licensee states they will create and submit a fall mitigation plan to the LPA via email by 2/26/2026 and by 3/11/2026 train all staff on the plan and fall mitigation measures.
Deadline recorded: Feb 26, 2026. A deadline is not proof that correction was completed.
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(7)
- Regulation authority
- CCR
What the official deficiency says
General Food Service Requirements (b) The following food service requirements shall apply: (7) Modified diets prescribed by a resident's physician as a medical necessity shall be provided. This requirement was not met as evidenced by: Based on interview and record review, the licensee did not ensure R1 received a physician ordered modified diet which poses a potential Health, Safety, and Personal Rights risk to persons in care.
Official plan of correction
Licensee states they will come up with a way to effectively communicate prescribed diets to staff and have them easily accessible during meal prep. Licensee will train all staff on this new policy and submit training and signed staff roster to LPA by 3/11/2026
Deadline recorded: Mar 11, 2026. A deadline is not proof that correction was completed.
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(d)(3)
- Regulation authority
- CCR
What the official deficiency says
(d)All personnel shall be given on the job training... This training and/or related experience shall provide knowledge of and skill in the following...(3)Skill and knowledge required to provide necessary resident care and supervision, including the ability to communicate with residents. This requirement was not met as evidenced by: Based on interview and observation, the licensee did not ensure staff have the skill and knowledge required to communicate with residents which poses a potential Health, Safety, and Personal Rights risk to persons in care.
Official plan of correction
Licensee states one of the staff is already enlisted in English courses, they will send the status of that staff's courses to the LPA and sign up the other staff for English courses and email the course registration to the LPA by 3/11/2026
Deadline recorded: Mar 11, 2026. A deadline is not proof that correction was completed.