Correction check·May 26, 2021

Licensing Program Analyst (LPA) Walters conducted an unannounced POC visit to follow up on deficiencies cited on 5/18/21. At the time of inspection there were three staff providing care and supervision for five residents. During previous visit LPA observed resident (R1's) belongings and bed in a room that does not meet the licensing standards and that was not approved by the fire department for residents. Based on the facility sketch, there were four bedrooms approved by the fire department that were to be used by residents. Staff S1 was residing in resident bedroom 2. R1 was residing in a staff room that was not designated as a living quarter. During previous visit LPA advised that the Administrator move resident R1 into a room that was designated for residents. LPA explained that evicting R1 or increasing their rent would be a personal rights violation. Administrator stated that they understood that all of S1's items were to be removed from bedroom 2. During today's visit, LPA toured the facility and observed that S1's belongings were still in bedroom 2. Administrator stated it would be to difficult to remove all of S1's items from bedroom 2 and that they agreed with the family to relocate R1 to their responsible parties home until they build another room. An immediate civil penalty for $500.00 was issued today for placing a resident in a room that was not designated for residents. 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. This report was read and discussed with Esther Penaflor Appeal rights were provided.