View sample of Integral Senior Living’s california Violations posing an immediate health, safety and personal rights to persons in care
10/26/23 Violation
In which THE RESIDENT ESCAPED from THE MEMORY UNIT of Allara Senior Living an ISL California SENIOR LIVING COMMUNITY.
“The incident reported occurred 10/26/23 at approximately 5:30pm, R1 departed the facility through an unlocked door of the Memory Care Unit. R1 walked to the main street (19th Street) was witnessed by a bystander who contacted the Police. The Police transported R1 to the station, contacted the facility to confirm, and returned the resident back to the facility.”
| FACILITY NAME: ALLARA SENIOR LIVING |
FACILITY NUMBER: 361881134 |
 DEFICIENCY INFORMATION FOR THIS PAGE: |
VISIT DATE: 10/27/2023 |
Deficiency Type POC Due Date / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) | ||
Type A 10/30/2023 Section Cited CCR 80078(a) | 1 2 3 4 5 6 7 | 80078 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the client’s needs. This requirement is not met as evidenced by: | 1 2 3 4 5 6 7 | During the visit, Vortex staff was dispatched to fix the door before the end of the day. Staff. Caregivers/Staff has been increase from 2 caregivers to 3 caregivers to provide additonal support for the memory care unit on going. |
| 8 9 10 11 12 13 14 | Based on interviews and record reviews, the Administrator failed to ensure the resident had assistance/supervision before leaving the facility on 10/26/23. Additionally, not ensuring the unit was secure to prevent R1 from departing facility; which posed an immediate Health, Safety and Personal Rights risk to persons in care. | 8 9 10 11 12 13 14 | Administrator agrees complete a statement of understanding by way of a LIC9098 and submit this LIC9098 to the Community Care Licensing Office by 10/30/23 |
6/20/24 Violation
In which on 6/4/24 THE RESIDENT left unattended from Blossom Vale Senior Living an ISL California SENIOR LIVING COMMUNITY and got lost out on the street and was returned by law enforcement.
The facility submitted a completed Unusual Incident/Injury Report (LIC624) on/around 06/04/24 regarding resident (R1) leaving the facility unattended on 06/03/24, at approximately 6:30 pm. IR stated that R1 got lost while on walk outside the facility after having dinner with their family member around 06:30pm. IR indicated that R1 was found lost on close by street by facility by bystander who notified law enforcement around 07:20pm and R1 was brought back by them uninjured to the facility.
| FACILITY NAME: BLOSSOM VALE SENIOR LIVING | FACILITY NUMBER: 345920078 |
DEFICIENCY INFORMATION FOR THIS PAGE: | VISIT DATE: 06/20/2024 |
Deficiency Type POC Due Date / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) | ||
Type A 06/21/2024 Section Cited CCR 87705(c)(4) | 1 2 3 4 5 6 7 | 87705- Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. This requirement is not met as evidenced by: | 1 2 3 4 5 6 7 | Current Licensee/Administrator will conduct staff training on keeping a closer watch on any residents that may have a tendency for wondering behaviour and document any changes in condition. Documentation of training shall be provided to Department by POC date-06/21/24. |
| 8 9 10 11 12 13 14 | Based on interviews conducted and record review, facility staff did not provide care and supervision to R1 resulting in R1 leaving the facility unassisted on 06/03/24 which posed an immediate health and safety risk to residents in care. | 8 9 10 11 12 13 14 | |
3/6/25 Violation
In which THE RESIDENT ESCAPED from THE MEMORY UNIT of Meadow Oaks of Roseville Senior Living an ISL California SENIOR LIVING COMMUNITY.
On the morning, R1 exited the door by her room to the patio. It was found that the batteries were low on the door alarm and the alarm was low and weak. Caregivers did not hear the alarm when R1 exited. R1 then moved patio furniture to a nearby fence. R1 scaled the fence, fell to the other side and was first responded to by workers on the other side of the fence. Caregivers then responded, R1 received medical assistance for an abrasion.
| FACILITY NAME: MEADOW OAKS OF ROSEVILLE |
FACILITY NUMBER: 317005900 |
DEFICIENCY INFORMATION FOR THIS PAGE: |
VISIT DATE: 03/11/2025 |
Deficiency Type POC Due Date / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) | ||
Type A 03/25/2025 Section Cited CCR 87705(c(4) | 1 2 3 4 5 6 7 | Care of Persons with Dementia (c) Licensees who accept and retain residents with dementia shall be responsible for ensuring the following:(4) There is an adequate number of direct care staff to support each resident’s … safety …needs as identified in his/her | 1 2 3 4 5 6 7 | LPA observed that the immediate safety issues for R1 have been corrected by R1’s wandering behaviors have reduced, door alarms are fully operational after battery replacement, staff pagers and walkie-talkies have been have been upgraded. Administrator agreed to discuss / review |
| 8 9 10 11 12 13 14 | current appraisal and demonstrated behaviors This requirement was not met based on records and interviews that found adequate number of staff were not present to implement R1’s care need. This posed an immediate risk to R1. | 8 9 10 11 12 13 14 | the possibilities of reducing exit possibilities during times of day. Feasibity and plan to be submitted. Administrator will review all documents pertaining to this incident and submit updated written communication forms. POC due 3/25/25 |
1 2 3 4 5 6 7 | | 1 2 3 4 5 6 7 | | |
1 2 3 4 5 6 7 | | 1 2 3 4 5 6 7 | | |
5/2/25 Multiple Violations Resulting in Death of Resident
Meadow Oaks of Roseville Senior Living an ISL California SENIOR LIVING COMMUNITY.
| FACILITY NAME: MEADOW OAKS OF ROSEVILLE |
FACILITY NUMBER: 317005900 |
DEFICIENCY INFORMATION FOR THIS PAGE: |
VISIT DATE: 01/14/2025 |
Deficiency Type POC Due Date / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) | ||
Request Denied Type A 01/15/2025 Section Cited CCR 87468.2(a)(4) | 1 2 3 4 5 6 7 | Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, …elderly shall have all of the following personal rights: (4) To care, supervision, and services that meet their individual needs and are | 1 2 3 4 5 6 7 | Licensee agreed to submit a plan for assessing staffing and staff communication for residents known to have exit seeking behavior. This POC is due 1/14/25. |
| 8 9 10 11 12 13 14 | delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by statements and records showing lack of supervision at the time of R1’s fall on 5/2/24. This posed an immediate risk to R1. | 8 9 10 11 12 13 14 | Immediate civil penalty assesses |
1 2 3 4 5 6 7 | | 1 2 3 4 5 6 7 | | |
1 2 3 4 5 6 7 | | 1 2 3 4 5 6 7 | | |
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
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| LIC809 (FAS) – (06/04) | Page: 6 of 8 |
Document Has Been Signed on 01/14/2025 12:32 PM – It Cannot Be Edited
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY FACILITY EVALUATION REPORT (Cont) | CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100 SACRAMENTO, CA 95827 |
FACILITY NAME: MEADOW OAKS OF ROSEVILLE |
FACILITY NUMBER: 317005900 |
DEFICIENCY INFORMATION FOR THIS PAGE: |
VISIT DATE: 01/14/2025 |
Deficiency Type POC Due Date / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) | ||
Type A 01/15/2025 Section Cited CCR 87405(h)(5) | 1 2 3 4 5 6 7 | Administrator – Qualifications and Duties(h) (5) Provide or ensure the provision of services to the residents with appropriate regard for the residents’ physical and mental well-being and needs, including those services identified… This requirement was not met based on interviews and records that | 1 2 3 4 5 6 7 | Licensee agrees to submit a plan for review and communication of any incidents or concerns for resident safety issues to be brought to the ED or designee attention in a timely manor. POC by 1/15/24. |
| 8 9 10 11 12 13 14 | found R1’s supervision regularly did not receive the services of ambulation supervision, staff were unaware of when 9-1-1 was to be called and Admin was unaware of a significant event in the facility. This posed an immediate risk to the resident | 8 9 10 11 12 13 14 | |
Deficiency Dismissed Type B 01/28/2025 Section Cited CCR87211(a)(1) | 1 2 3 4 5 6 7 | 87211 Reporting Requirements(a)(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 (D) Any incident which threatens the welfare, safety or health of | 1 2 3 4 5 6 7 | Licensee agrees to submit the procedure of incident, to begin report, to review to submitting to CCLD for all reportable incidents by the POC date of 1/28/25. |
| 8 9 10 11 12 13 14 | any resident… This requirement was not met based on interviews and records which found unreported incidents of elopements by R1. This posed a potential risk to resident. | 8 9 10 11 12 13 14 | |
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
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| I acknowledge receipt of this form and understand my appeal rights as explained and received. | ||||||
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| LIC809 (FAS) – (06/04) | Page: 7 of 8 |
Document Has Been Signed on 01/14/2025 12:32 PM – It Cannot Be Edited
STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY FACILITY EVALUATION REPORT (Cont) | CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100 SACRAMENTO, CA 95827 |
FACILITY NAME: MEADOW OAKS OF ROSEVILLE |
FACILITY NUMBER: 317005900 |
DEFICIENCY INFORMATION FOR THIS PAGE: |
VISIT DATE: 01/14/2025 |
Deficiency Type POC Due Date / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) | ||
Request Denied Type B 01/28/2025 Section Cited CCR 87303(a) | 1 2 3 4 5 6 7 | 87303 Maintenance and Operation (a) The facility shall be … safe, … and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents. This requirement was not met based on | 1 2 3 4 5 6 7 | Licensee agreed to to submit the procedure for safety checks of the community grounds to include check lists utilized and persons respibsible for the reviews and corrective actions by the POC 1/28/25. |
| 8 9 10 11 12 13 14 | observations which found surface from walkway to landscaping presented an uneven surface for un unsteady, unsupervised resident to fall. This poses a potential risk to residents. | 8 9 10 11 12 13 14 | |