Follow-up·October 10, 2023

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to this facility regarding another matter and observed the facility has replaced the flooring of the facility and informed LPA they will also be replacing or doing repairs to the backyard deck. LPA reminded facility, any work on the facility must be reported to Community Care Licensing(CCL) in writing prior to starting. The notification should include the type of work being performed, when it will start and be completed, permit requirements and how the residents of the home will be protected and not be affected by the work being done. LPA also requested facility to remove stored items covered by a tarp from the side of the home, failure to remove may result in citations being issued. LPA also went over resident R1 who has a Physician Report in file, dated, 6/15/2023 but report does not indicate R1s ambulatory status. Prior Physician report for R1 dated 2/23/2022 indicates R1 as Non-ambulatory, but there is a question regarding R1s current ambulatory status and LPA requested facility to have the 6/15/2023 medical report completed in full. Facility understands, they do not have approval for bedridden residents at this time. LPA went over requirements and items needed for the facility to request approval for bedridden residents from the fire department and CCL LPA consulted regarding vaccinations. No citations issued during today's visit.