Follow-up·February 29, 2024

Licensing Program Analyst (LPA) Christine Yee conducted an announced case management visit to inspect bedroom #1 that was altered to allow for the retention of a non-ambulatory resident in that room. Bedroom #1 was previously fire cleared for an ambulatory resident only. City permits were obtained for the alteration of bedroom #1 and fire cleared on 1/22/2024. The facility is now fire cleared for 5 NON-AMBULATORY residents and 1 BEDRIDDEN resident. Bedroom #3 is designated for use by bedridden resident. On today's visit, LPA Yee conducted a tour of the entire facility, inside and outside, with emphasis on Bedroom #1 and Bedroom #3 to ensure that there aren't any obvious visible safety issues. The entrance to Bedroom #1 was altered to include a 20 minute fire rated door and a door that leads directly to the outside. The hallway leading to Bedrooms #2 through to Bedroom #5 also has a 20 minute fire rated door that was previously installed when the facility was licensed to allow residents in those bedroom time to exit from Bedroom #3. Per today's inspection, LPA Yee did not observe any obvious safety issues with the facility and any issues that would prevent Bedroom #1 from being approved for use by a non-ambulatory resident. Effective as of today's visit, bedroom #1 is cleared for resident use. Exit interview was conducted a copy of this report was provided.