Follow-up on corrections·July 15, 2021

Licensing Program Analyst (LPA) Javina George conducted an unannounced health and safety check. LPA met with Administrator Rachel. Upon arrival LPA observed that the gate is still broken, the facility is using a lock that is typically used to secure a bike (rubber/plastic with a combination). Per previous discussion with Administrator the gate was to be fixed by 6/30/21. Administrator called the repair man during LPA's visit whom stated that he ordered the part and the fence should be fixed next week. LPA toured the physical plant and observed the facility to still be under construction. Administrator submitted the plans for construction to LPA during the visit, that were requested May 27, 2021 during LPA's last visit. The projected completion date is August 2021. LPA observed that there is still a lock on the refrigerator as well as the pantry. The facility has more than the minimum requirement of a 2 day supply of non perishable food items and a 7 day supply of perishable food items. LPA observed and greeted all resident's except one due to them being asleep during LPA's visit. The resident's were groomed, and appropriately dressed. At 10:57am LPA observed the facility to be over capacity. There to be an extra individual Resident # 7 (R7) asleep inside of bedroom number two, whom was identified as a resident and was placed by the County, per Administrator Rachel. Note that R7 is associated to the facility. LPA discussed the need to have someone relocated, as it is an immediate health and safety risk to the resident's in care, as the facility's fire clearance only granted approval for 6 non ambulatory resident's. Per Administrator there is supposed to be another resident #4 (R4) moving out by the end of this week. The move out date was confirmed to be tomorrow 7/16/21 afternoon. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations. An exit interview was conducted, and a copy of this report, and appeal rights were provided to Administrator Rachel Riley.