ATRIA GRAND OAKS

Official classification

Type A

Official code

87307(e)(2)(A)

Regulation authority

CCR

What the official deficiency says

(e) The licensee shall supervise residents as needed and as determined by the resident's appraisal pursuant to Section 87457, Pre-Admission Appraisal or Section 87463, Reappraisals, when residents are in proximity to or when there is use of the following items: (2) Fishponds, wading pools, hot tubs, swimming pools, or similar larger bodies of water. (A) The licensee shall ensure that the bodies of water specified above are inaccessible through fencing, covering, or other means when not in active use by residents. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above as the outdoor swimming pool was accessible to residents in care which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 03/20/2026 Plan of Correction The latching mechanism for the pool gate was repaired during the visit. POC is cleared.

Official classification

Type B

Official code

1569.605

Regulation authority

HSC

What the official deficiency says

On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees. 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 as the facility had no record of a current and active liability insurance policy which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/26/2026 Plan of Correction ED stated they will provide proof of liability insurance to CCL by the due date.

Official classification

Type A

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature...interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: The facility did not comply with the above cited section, as based on review of video footage, S1 is seen physically abusing R1, which posed an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

As a result of the incident, S1 was terminated. ED agreed to provide personal rights and abuse training to all current staff and provide proof of training to CCL by POC due date.

Deadline recorded: Nov 19, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)

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: This requirement is not met as evidenced by: Based on record review, the licensee did not comply in that one (1) staff member did not have a criminal record clearance and one (1) staff member did not have a criminal record clearance transfer which poses an immediate health, safety, and personal rights risk to persons in care.

Official plan of correction

Facility associated staff without a criminal record transfer during the visit. ED stated that the staff without clearance is going on leave effective today and will not be working until obtaining clearance.

Deadline recorded: Oct 17, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(e)

Regulation authority

CCR

What the official deficiency says

(e) Facilities providing services to residents who have physical or mental disabilities shall assure the inaccessibility of fishponds, wading pools, hot tubs, swimming pools or similar bodies of water, when not in active use by residents, through fencing, covering or other means. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, as the swimming pool was observed accessible to residents in care, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 01/28/2023 Plan of Correction The Administrator has agreed to do the following: 1. Secure the pool. Send out a memo to all staff, communicating protocol regarding pool usage and ensuring it is locked at all times. Inform CCL when this has taken place, but must take place no later than 1/28/2023, end of day. Immediate civil penalty of $500 assessed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303(a) 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 is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above as the flooring is uneven, which poses a potential health and safety risk to residents in care.

Official plan of correction

The Licensee has agreed to do the following: 1. The licensee will send a layout of the building, indicating the flooring sections that will require repair no later than 11/9/2022. 2. Repairs must be completed by 11/28/2022. a request for an additional thirty day extension must be submitted before 11/28/2022.

Deadline recorded: Nov 28, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above, as water temperatures registered above 120 degrees Fahrenheit, which poses an immediate health and safetyrisk to persons in care.

Official plan of correction

POC Due Date: 03/07/2022 Plan of Correction The Administrator will send the LPA documentation regarding to the repair of the facility boiler no later than 3/7/2022. Thereafter, facility will send a five-day temperature log to demonstrate that the temperature is regulated within range. Temperature log will be sent to the LPA no later than 3/14/2022