Follow-up·August 19, 2024

On 8/19/24 at 9:15am LPA K. Nguyen arrived unannounced to conduct a case management in regrades of a resident health and safety by the fire department. LPA spoke with Administrator (AD), Josephine Santos regrading the purpose of the visit. AD was not able to be present due to being out of state. AD asked LPA to discuss the issue with Co-Administrator Nicole Morales who is covering for AD while AD not available. LPA meet with fire code compliance officer, Joe Villarreal during facility visit. There are recommendation that Joe advice's the facility need to do in order to be compliance with the fire clearance. Facility needs to complete and turn in by in order for the facility to be compliance with fire code: -Living room door need to be fix by 8/19/24. -Fire extinguisher with a current tag by 8/23/24. -All Room need to be labeling including residents, staff, and bathroom by 8/23/24 - Back gates need to be at least 39 inches wild for wheelchair accessible by 9/9/24 Report continue on LIC 809c... LPA require documents including but not limited to: -R1 update Physician report by 9/3/24 -R1 update needs and services plan in detail 8/23/24 -Facility needs to show proof AD that R1 can exit the back gate in case of emergency (wheelchair or walker) -Administrator needs to review reporting requirements in title 22 and submit to CCLD a self certified statement stating that AD understand the regulation by 9/9/24. Exit interview is conducted and a copy of this report is provided.