Follow-up on corrections·March 16, 2023

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to open the initial complaint investigation. During visit, violations were observed and a case management - deficiencies visit was conducted. LPA met with Licensee, Dominica Oliva and Administrator, Joseph Oliva. LPA toured the facility with staff to include the living room, kitchen, dining room, resident bedrooms and bathrooms. During tour, LPA observed 3 out of 6 residents (R1 - R3) has full length bed rails. R1 - R3 is not under hospice care. LPA observed residents R1 - R3 obtained a physician's order on the physician's report for full-length bed rails. Based on record review of the facility file, the facility did not submit an exception request nor obtain an approval from the Department for the use of full-length bed rails for R1 - R3. Based on interview, the Licensee and Administrator misinterpreted the regulations but ensured they obtain a physician's order and family approval prior to the use of full-length bed rails. No deficiencies were cited, per California Code of Regulations, Title 22. Advisory note provided. See LIC9102. This report was reviewed with Licensee, Dominica Oliva and Administrator, Joseph Oliva and a copy of the report was provided.