Follow-up·December 8, 2023

On December 8, 2023, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case-management visit to follow up on a total dependent care exception request from the facility for resident #1 (R1). LPA met with Assistant Administrator, Jennifer Tobias and explained the purpose of the visit. During the visit, LPA observed R1, obtained training records, and interviewed the administrator. Based on observations, R1 was observed sitting on a chair in his/her bedroom. R1 is able to communicate very little, however according to assistant administrator, R1 is able to tell staff if he/she needs anything. According to the assistant administrator and staff interviewed, R1 is two persons assist. Staff use a hoyer-lift to transfer R1. Staff interviewed indicated, R1 is able to hold utensils and glasses, however R1 can't bring it up to his/her mouth. Assistant administrator indicated that R1 is unable to conduct one ADL on his/her own and a staff will always have to assist. R1 is able to help staff repositioning himself/herself. LPA requested copies of staff training for hoyer-lifts, however assistant administrator was unable to provide copies. According to the administrator, the facility provides training for postural support and staff are trained for hoyer-lifts, however there was no documentation provided to LPA to show staff are trained to use hoyer-lifts. Deficient is cited under California Health and Safety Code on the LIC809D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with the Assistant Administrator and a copy is provided via email.