Follow-up on corrections·March 12, 2024

Licensing Program Analysts (LPAs) Valeria Conway and Zabel Chochian conducted an unannounced Case management deficiencies inspection visit at the facility today due to deficiencies observed during the investigation of complaint control #29-AS-20240311081755. During the complaint investigation LPAs conducted a physical plan tour of the facility with Assistant Administrator from 10:00 a.m. to 11:15 a.m. to ensure there are no health and safety hazards and the following deficiencies were observed. During the physical plan tour LPAs met with Resident #1 (R1). R1 expressed concerns about wheelchair provided not having enough support and causing resident discomfort. Based on interview with R1, record review and interview with Assistant Administrator it was revealed that two (2) prescriptions for a new wheelchair from primary physician were issued since December 2023. As of today, R1 has not received a new wheelchair prescribed by physician. At approximately 10:25 a.m. LPAs observed Laundry room in second floor was unlocked and cabinets in the laundry room containing detergents, and chemical supplies were unlocked, unsupervised and accessible to residents. Also during the tour at approximately 11:02 a.m. LPAs observed Resident's 2 (R2) Room #11 door was wide open, nobody in the room at the time. LPAs observed resident's hygiene products/items such us body lotion and hand cream on a table along side the wall. Also, on top the night stand next to resident's bed LPAs discovered a container with scissors accessible to other residents. Although R1 is able to store personal hygiene items and not at risk, based on random records reviewed and interview with Administrators other residents are. Based on records review and the information obtained, the following deficiencies were observed. Pursuant to Title 22 of the CA Code of Regulations (CCR), the following deficiencies were cited (refer to LIC 809-D) Exit interview conducted with Administrators. Today's reports, and appeal rights were discussed, and copy was provided.