Follow-up on corrections·January 24, 2025

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced and met with caregiver, Lito Francisco and toured the home. During the course of a complaint investigation, LPA discovered the facility is using a small metal stick that is jammed sideways on the door frame, through a small opening that was made in order to use it as a locking mechanism. LPA was attempting to open the exit door, the door was stuck and would not open. Staff then explained they needed to remove the stick. LPA was not aware of the stick because there was a small sign in front that prevented its view. LPA asked why they were using a stick to block the door from opening and staff explained that it was due to the resident that is occupying the room, has memory issues and tries to exit and for their safety they prevent the door from opening. Resident R1 Physicians report LIC602 states R1 has wondering behaviors and sun downing. Resident first diagnoses is not Dementia but report states memory loss. LPA explained to administrator/licensee Maria Bui that they may not lock any exit doors and that they need to ensure the safety of the resident. LPA also explained that facility is not doing preplacement appraisals and these need to be conducted so that the facility can ensure they can meet the residents needs or if they need to have more staff present for the safety of elopement instead of using a locking mechanism to prevent the exit door from opening. LPA explained to staff that the tall dresser in the staff room has to be moved to allow the door to open enough for residents in wheelchairs/walkers to use, as their room has an exit door that is identified by the fire department as exit. LPA also advised administrator the facility does not have bedridden approval from our department. The following deficiencies were observed (see LIC 809D) and 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, report and appeal of rights emailed.