Follow-up·October 19, 2022

Licensing Program Analyst (LPA) Talwinder Bains and Licensing Program manager (LPM) Laura Munoz arrived at the facility unannounced on 10/19/22 and met with administrator Ying Liu (Ruby). Prior to the visit , LPA and LPM completed required COVID-19 testing protocols and the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA and LPM wore the following Personal Protective Equipment (PPE) during today's visit-surgical masks. LPA and LPM were screened by facility staff upon entry. During facility tour, LPA and LPM observed that R1 is bedridden. A review of R1's medical assessment dated 05/26/2022 indicated R1's ambulatory status as "bedridden". Upon review, the facility does not have approved fire clearance for bedridden residents. R1 indicated she is able to rotate herself however is unable to do so with the current bed she has. LPA and LPM observed R1 in a hospital bed not equipped with mobility assisted devices to assist R1 to rotate. In addition, LPA and LPM observed R1 does not have a wheelchair accessible to her therefore, R1 is unable to be transferred in and out of bed. Lastly, it is noted in R1's records and observed by LPM that R1 has pressure sores on coccyx area as well as left heel. Per facility staff, home health has been coming to the facility to manage wound care. The facility accepted a resident who was bedridden without proper fire clearance which poses a immediate health and safety risk to residents in care. Immediate civil penalty in the amount of $500 is assessed today and citations issued per Title 22, CCR. Furthermore, the facility not preserve R1's personal rights when the facility failed to provide R1 is mobility assistance equipment to assist R1 in rotating and transferring. This violation is an immediate safety risk to residents in care. Citation-A issued to the facility per Title 22,CCR. The licensee stated that the facility will replace R1's bed on 10/21/2022 with a bed that has bed rails. In addition, the licensee provided R1 with a wheelchair at the time of LPA and LPMs visit today. Appeal rights provided. Exit interview conducted with Ruby and copy of the report left at facility.