Follow-up·January 26, 2023

On 1/26/23, LPA Mknelly returned to follow-up from 1/25/23 Annual inspection. LPA followed the department's covid 19 procedures, wore a surgical mask and was screened by staff. LPA informed caregiver of the reason for the visit. On 1/25/23 violations were not cited due to technical malfunction; On 1/25/23 LPA observed: Licensee has not insured that quarterly fire drills are completed and there is a resident with dementia in care. At today's inspection, caregiver presented a Fire Drill report for a 1/25/23 fire drill. However, caregivers were unaware of the drill conducted and Licensee and others stated as participating were not present. The fire alarm in room 3 had a disabled fire alarm that has been removed and not replace. On 1/26/23, LPA observed the smoke alarm in place and operational. Both constitute an immediate risk to resident. LPA observed that issue that repairs had been done to damaged wall, a broken closet slider was removed and beds were rearranged to clear the sliding door fire exit. As a result of this the visits on 1/25/23 and 1/26/23, he following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with Audrey Whittaker Brissett . Copy of this report and appeal rights provided.