Complaint·November 23, 2022

conducted a visit on 11/21/22 and revealed the following: Administrator and Licensee state a wall was put up to split a resident room into two private rooms and a permit was not pulled. LPA reviewed facility floor plan which shows the floor plan does not match the actual physical plant. On today’s visit upon observation LPA observed that there was a door in place in the installed bedroom, however that door has been removed since 11/21/22. LPA observed that the air vent was on left side of bedroom on the opposite side of the wall. Interview with resident indicated that since the vent was only on one side of the bedroom the air would not properly circulate due to the placement of the door. Resident indicated that bedroom bathroom would be used by occupants of the bedroom and caregivers. Prior to the wall being added the bedroom was private and R1 was the sole occupant of it. R1 indicated that wall was added around the week of 11/10/22. R1 indicated having an issue once the door and wall was placed because it now became a shared room rather than a private room because with the wall installation and door, it became a passageway to residents’ bathroom by other residents and caregivers and further more was used as a passageway to the other part of the bedroom. Interviews with staff revealed that the wall had been installed about two weeks ago and that the door in bedroom has now been removed permanently and will not be replaced to remain as an open entryway. Staff indicated that the flow of air is now access to all parts of the bedroom. It was indicated that bedroom was used as a passage way to the bathroom by caregivers and access to other parts of the bedroom. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report was provided to facility administrator along with appeal rights