Follow-up on corrections·August 17, 2023

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection related to a deficiency observed on 8/8/23. LPA met with Steve Heydon, caregiver/Administrator Designee, and explained purpose of inspection. Also present was care staff, Ram Pratap and Francis Iroko, who is in training. LPA observed (1) resident watching television in the common area and was informed (1) resident was currently in the hospital and (1) resident was out of the facility. On 8/8/23, LPA observed (2) residents to be residing in room #1, (1) of whom (R1) is non-ambulatory and uses a walker to ambulate. The second resident (R2) is able to ambulate without a walker, but Administrator Designee indicated R2 prefers to use one at times. On 8/17/23, LPA was informed the same (2) residents reside in room #1; however, resident (R1) is currently in the hospital. LPA observed R2 to be in the room. LPA discussed the last fire clearance issued on 9/23/22 for the newly converted room (#1), which is approved for (2) ambulatory residents only. LPA discussed the current deficiency with Administrator, by phone. LPA stated R1 needs to move to a room approved for a non-ambulatory resident. Administrator Designee stated R4 will move to the shared room so R1 can occupy R4's current room if/when R1 returns from the hospital. R3 stated she is waiting for final approval to move to another location. R1 moved to the facility on 8/1/23 and resided in rm #1 until 8/14/23 when resident was sent to the ER. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency are being cited on the attached 809-D page. Exit interview was conducted with Administrator Designee. A copy of this report and appeal rights were provided. Administrator's signature on these forms acknowledges receipt of these documents.