Follow-up on corrections·December 29, 2021

On 12/29/21 at 11:00 am, Licensing Program Analysts (LPAs) Darlene Chavez and Jenny Olson conducted a 10-day complaint investigation. During the investigation at 12:55 pm, LPAs observed that Resident #1 (R1) and Resident #2 (R2) have bed rails extending the full length on both sides of their common queen-sized bed. All four bed rails were in the upright position, each side of the bed having a top half rail and a bottom half rail. Resident #2 was asleep or resting in the bed at the time LPAs visited. Staff #1 (S1) stated that neither R1 nor R2 are on hospice. S1 provided documentation from R1 and R2 physician showing they are approved for half bed rails. LPA Chavez questioned staff as to why R1 and R2 had full bed rails, and S1 and Administrator stated they did not know, but that R1 and R2 fall “frequently.” LPA Chavez communicated to S1 and Administrator that full bed rails are not permitted and instructed them to immediately remove the bottom half rails on both sides of the bed immediately which S1 and Administrator did. Photos were taken. The following deficiency was observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were emailed.