Follow-up on corrections·December 9, 2024

Licensing Program Analysts (LPAs) Hannah Rodgers and LPA Rebecca Ruiz conducted an unannounced case management visit to cite for a deficiency observed during a previous visit. LPAs introduced themselves, and met with Administrator Marco Kolomijcev. LPA spoke with Administrator David Swagerty via telephone during the visit. During today’s visit, LPAs observed residents in care. LPAs' observations and information provided by licensee and staff today and during previous visit on 12/5/2024 revealed that Resident 1 (R1) is bedridden and unable to reposition independently. Administrator Kolomijcev was provided with an LIC811 Confidential Names List to identify R1. Review of facility's license and fire clearance revealed that the facility is cleared and licensed for 6 non-ambulatory residents. The facility does not have an approved fire clearance to house a bedridden resident. Based on this information, a deficiency is being cited Per Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on an LIC 809-D. Additionally, an immediate civil penalty in the amount of $500 is being assessed on an LIC421IM. An exit interview was conducted with Administrator Kolomijcev, to whom a copy of this report, LIC809-D, LIC811, LIC421IM, and Licensee/Appeal Right (LIC9058), were provided.