complaint·November 4, 2022

On November 04, 2022, Licensing Program Analyst (LPA), Venus Mixson conducted a visit to the facility and met with Administrator, Verly Frias. The visit was conducted in order to provide the findings for the investigation pertaining to the listed allegation. On January 21, 2021, Community Care Licensing received information which stated facility houses a bedridden resident without proper fire clearance. The investigation included interviews and review of documents. The information obtained revealed that Resident 1 (R1) was admitted to the facility on January 6, 2020. Based on review of physician’s report and case plans and was deemed bedridden at the time of placement, the facility did not have an approved fire clearance for a bedridden resident. The Administrator reported he thought he could admit bedridden residents as long as hospice care was in place. The preponderance of evidence standard has been met and the allegation is substantiated. This allegation posed an immediate health and safety risk to R1. The facility was cited on the attached LIC9099D. A copy of this report, along with the LIC 9099D page and appeal rights were provided.