AEGIS ASSISTED LIVING OF APTOS

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411 Personnel Requirements - General (a) Facility personnel shall at all times be...competent to provide the services necessary to meet resident needs This requirement was not met as evidenced by: Based on observation, record review and interviews,on 7/25/2025 Staff S1 gave another resident's medications to R1. On 4/16/2026, S2 gave an incorrect dose of medication to R2 which poses an immediate health, safety and personal rights risk to persons in care.

Official plan of correction

Licensee will submit a plan of action on how the facility with work to prevent medication errors by POC due date of 4/23/2026.

Deadline recorded: Apr 24, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

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 is not met as evidenced by: Deficient Practice Statement Based on observation, record review and interview, the licensee did not comply with the section cited above. During inspection of R1's bathroom, LPA observed pills/capsules in an unlocked cabinet. Review of R1's physician's report dated 10/2/2023, R1 cannot manage or store his/her medications. which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/17/2026 Plan of Correction Administrator stated to provide a written plan of action understanding regulation and will also submit a plan regarding how staff will meed the needs of residents in care, to include additional training on the storage of medications and resident care plans. Administrator will submit POC to CCL by 3/17/2026.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights: (a)(2) Each resident shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interview and record reviews, on 7/18/2025, R1 has neurocognitive disorder and left the facility unassisted and was found by facility staff outside of the community, sustaining injuries. This poses an immediate Health, Safety, or Personal Rights risk to persons in care.

Official plan of correction

ADM stated he will send a written plan of action on how the facility ensures residents with wandering behaviors and neurocognitive disorder will be kept safe. ADM stated he will also send a written letter of understanding regarding the regulation. ADM will submit POC to CCLD by POC due date 9/12/2025.

Deadline recorded: Sep 12, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87405(H)(1-8)

Regulation authority

CCR

What the official deficiency says

The administrator shall have the responsibility to:(1) Administer the facility in accordance with these regulations and established policy, program and budget. (2) Where applicable, report to the licensee on the operation of the facility, and provide the licensee with necessary interpretations of recognized standards of care and supervision. (3) Develop an administrative plan and procedures to ensure clear definition of lines of responsibility, equitable workloads, and adequate supervision. This requirement was not met as evidenced by the kitchen in need of additional supervision, lack of activities for scheduled time and residents sitting without supervision in the dining area with toxin unlocked and accessible to residents. LPA was told that the Administrator has given notice and other staff are taking the lead when the Administrator is out.

Official plan of correction

The facility has appointed a new Administrator.

Deadline recorded: Jan 27, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87555(b)(8)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. The licensee did not provide food of good quality. During the inspection of the kitchen LPA observed mold on bread and missing documentation of Consulting services for dietary requirements needs and overall quality of food services. This poses a potential health risk to residents in care. Staff disposed the expired non-perishable food immediately upon discovery.

Official plan of correction

Licensee to check all the non-perishable food in the pantry and dispose expired food immediately. Consulting services will be included in the plan of correction and sent to the department by 2/14/2025

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

Official classification

Type A

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(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: Licensee did not ensure that the Emergency Disaster Plan included the contact information for at least two backup generator rental companies and Licensee did not ensure that staff attempted to contact the listed backup generator rental company when the facility was without power from 6:45AM to 9:45PM on 12/14/2024 which poses an immediate safety risk to residents in care.

Official plan of correction

Licensee agrees to submit a plan to CCL by POC date 12/27/2024 to ensure that the Emergency Disaster Plan includes the contact information for at least two backup generator rental companies and staff are provided with in-service training on contacting back up generator rental companies when there is a power outage at the facility. Once in-service training is completed, Licensee shall provide copies of training records to CCL, includings names, dates, training topics, and names and qualifications of trainers.

Deadline recorded: Dec 27, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(2)

Regulation authority

CCR

What the official deficiency says

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia:(2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met as evidenced by observation and photo taken there was unlocked toxins under the sink in the memory care unit. This is an immediate health and safety risk to residents in care.

Official plan of correction

Administrator shall submit a plan to Licensing on how toxins will be locked up in facility and provide toxin training to maintenance staff or any other staff responsible for cleaning. Licensee shall submit curriculum and date of training to Licensing by 11/25/2024. If additional time is needed please request additional time by POC date via email provided on LPA's busniess card.

Deadline recorded: Nov 25, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. 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 3 out of 8 staff files reviewed, which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/04/2023 Plan of Correction Licensee has begun to implement electronic devices at facility to assist in providing necessary training, licnesee to assign specific hours to staff during their shift for the purpose of completing mandatory trainings. Licensee to submit written plan for provision of trainings to all necessary staff by POC due date.