Follow-up on corrections·August 17, 2022

A case management was conducted on this date in conjunction with a complaint 10 day visit for complaint control #22-AS-20220812173125. The purpose of this case management is to discuss the following deficiency that is being cited on this date. While reviewing records for Resident 1 (R1), (R1)has a physician report dated 10/18/2021 and has an ambulatory status of Bedridden. Licensing Program Analyst (LPA) LPA Rosie Quiroz met with Licensee/Adminsitrator (L/AD) Noemi Figueroa and discussed areas cited today and provided (L/AD) Figueroa with a copy of the fire clearance that does not reflect the approval for bedridden. In addition LPA explained to (L/AD) Figueroa the process of requesting a new fire inspection in order to accept and retain bedridden residents in the future. B ased on a review of the facility file and a review of the approved fire clearance, the facility is licensed for 6 Non Ambulatory residents and has a hospice waiver for four (4) residents, no rooms are designated for bedridden per fire inspection. R1 was admitted to facility on 9/01/16 per admission agreement. Based on review of R1 Physician Report dated 10/8/2021, it is documented by physician that R1 is bedridden. The facility does not have approved fire clearance to provide care to resident that is bedridden. This potentially poses immediate danger to resident in care. Per Health and Safety Code Section 1569.72(f)(a):Facility retaining a bedridden resident shall, within 48 hours of R1, diagnosis of bedridden the facility shall notify the local fire authority with jurisdiction in the bedridden resident's location of the estimated length of time the resident will retain his or her bedridden status in the facility. CONTINUED ON NEXT LIC 809 C PAGE... CONTINUED... Facility failed to notify local fire authority or CCL of R1 becoming bedridden and requiring total care, therefore the facility is being cited per Title 22, Division 6. (SEE LIC 809-D) An exit interview was conducted with (L/AD) Noemi Figueroa and a copy of this report, LIC 809-D, and LIC 811 -Confidential Names and Appeal Rights were provided to (L/AD) Figueroa were provided at exit.