Follow-up on corrections·November 10, 2022

Licensing Program Analyst (LPA) Avelina Martinez arrived at facility unannounced to conduct a case management visit. LPA met with Una Wqualala and explained the purpose of the visit. The purpose of the visit today, is in response to fire clearance deficiency, basic service deficiency and accepting a bedridden resident deficiency. During today's visit, it was learned resident 1 (R1) is bedridden has not been moved from their bed for approximately three months. Moreover facility documents reports R1 is bedridden. Furthermore, the facility does not have a fire clearance for bedridden residents. As a result, A civil penalty is hereby assessed on today's date November 10, 2022 in the amount of $500.00. LPA Martinez toured the facility with staff and inspected smoke and carbon detectors and fire extinguishers on today's visit. R1's Appraisal/Needs and Service Plan indicated R1 arrived at this facility in a bedridden state. Also, R1's resident appraisal states R1 is bed bound. A medical record dated May 5, 2022 stated R1 was confined to their bed and unable to get up from bed without assistance. LPA Martinez conducted an interview with R1, and R1 reported being bed bound and only being able to move their arms. As a result, the facility is operating beyond the conditions and limitations specified on the license. In addition, R1's Health Certification form was not updated to reflect R1's ambulatory status. It was also learned the facility is unable to provide adequate care, as facility is not able to care for R1's mobility needs. R1's hoyer lift is not in good repair (broken), and staff are not able to transfer R1 on and off the bed. As a result, A civil penalty is hereby assessed on today's date November 10, 2022 in the amount of $500.00 for lack of basic care services. Continued... The facility will need to ensure fire clearance safety precautions are implemented. The facility is also in the process of relocating R1 to a skilled nursing facility. The facility will follow up with LPA Martinez daily in regards to R1's placement and R1's health condition. The following deficiencies were observed and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. An exit interview was conducted, and a copy of the 809 report, civil penalty forms, and appeal rights were given to the facility.