Follow-up on corrections·November 23, 2021

lOn 11/23/2021 at 12:20 PM, Licensing Program Analyst (LPA) Nicholas Reed noted deficiencies from an unannounced annual visit earlier in the day. LPA met with Administrator to discuss the deficiencies LPA observed. The census of residents was 7 During a facility tour at approximately 10:15 AM, LPA observed two residents in Bedroom #6, one resident in Bedroom #3, one resident in the living room, one resident in Bedroom #2, and two residents in Bedroom #1. The facility currently provides service to 7 residents. Additionally, one of the two residents in Bedroom #1 was non-ambulatory. From records review and discussion with Administrator, LPA learned Bedroom #1 is designated for ambulatory use only. Administrator noted the reasons for operating beyond the facility’s fire clearance. Administrator accepted Emergency Placements recently, and due to additional, necessary medical procedures and family requests, Administrator retained an extra resident. Two residents were expected to leave by December 1st, so Administrator did not initiate the 30-day eviction process. Pursuant to Title 22 Division 6 Chapter 8 Article 4 of the CA Code of Regulations, deficiencies were cited (refer to LIC 809-D). Exit Interview conducted, appeal rights discussed and issued, and copy of report emailed to Administrator.