Follow-up·June 23, 2021

Licensing Program Analyst (LPAs) Katrina Walters and Jill Nakagawa arrived unannounced and conducted case management visit. LPA was greeted by staff. Administrator, Estrella Valendo arrived later. There are currently 3 residents all of which have a dementia diagnosis and two of those residents are on hospice. During a complaint visit on 6/23/21 LPAs Katrina Walters and Jill Nakagawa observed that furniture was being used to obstruct the walkway from the bedroom hallway to the kitchen. Per the Administrator they were using the furniture to prevent resident R1 from entering the dinning room and exiting the facility. Administrator and staff then immediately moved the table so that it would not obstruct access to the rest of the facility. Resident 2 (R2) had been observed on an earlier visit with a chair next to their bed preventing them from getting up. Interviews reveal that staff place the chair in front of the resident's bed to prevent them from falling out of bed. LPA discussed with Administrator that a chair cannot be used in exchange of supervision. Administrator stated they understood. LPA was unable to cite during the previous visit. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Estrella Valendo, Licensee/Administrator, who's signature below confirms receipt of report.