Follow-up·May 24, 2023

Licensing Program Analyst (LPA) Avelina Martinez arrived at this facility unannounced on 05/24/2023 at 10:30 AM to conduct a case management visit. LPA met with Nadine Mills and Diana Garcia and explained the purpose of the visit. The purpose of the visit is to follow up on resident's 1 (R1) care plan and relocation plan. During case management visit LPA Martinez reviewed R1's facility files. It was learned R1 is a double amputee and requires a hoyer lift to be transferred to and from wheelchair and on and off hospital bed. In addition, R1 requires two persons to complete hoyer lift transfers. Moreover, R1 is not able to access their wheelchair because their wheelchair/hoyer sling is not the correct length. At this time, R1 is not able to transfer onto their wheelchair safely. Additionally, R1's assessment needs to be updated to reflect hoyer lift use. As a result, facility staff agreed to complete a reassessment, and obtained the proper equipment for transfers and wheelchair use. Moreover, at this time, R1 is able to turn and reposition in bed independently; however, if this changes, the facility was advised they would need a bedridden fire clearance approval. Furthermore, facility sketch will need to be updated. In addition LPA Martinez observed staff residing in a room that has not been designated as a staff room on the fire clearance STD 850 form. The home owner constructed a wall in the middle of room 4 to create an additional room. However, the wall is not complete and obstructs a window from opening. LPA Martinez will follow up with Sacramento Fire Department in regards to rooms 4 and 5. LPA will conduct a Case Management visit at another time to follow up on Fire Clearance regulations. Due to this visit, deficiencies were cited and can be found on the 809-D page. An exit interview was conducted, and a copy of this report was provided to the facility.