Follow-up·October 20, 2023

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to obtain additional information regarding the care and supervision of residents. LPA met with Shahbaz Khan and stated the purpose of the visit. LPA observed three resident files (R1-R3). LPA interviewed Applied Hospice staff during this visit. Administrator Shahbaz Khan contacted the Fire Dept to schedule a pre-inspection to ensure and determine which rooms are allowed to maintain bedridden residents as the facility is approved for 6 hospice residents. LPA reviewed the meaning of exception, waiver, bedridden, total care, records, non-ambulatory, and the use of Technical Support Program (TSP). Of the 3 files reviewed, LPA observed R1 is not using a catheter, R2 is utilizing hospice services and periodically using a condom catheter which Home Health is maintaining through visits 5x week along with using incontinence supplies. R3 is using a purewick catheter but is able to maintain the self-care with assistance. R4 who needed catheter care was relocated by the POA as there was no exception in place. LPA inquired about the exception requests that was submitted to the Department. LPA deemed the exceptions are not needed at this time. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies cited. Exit interview held, copy of report given