Follow-up·August 19, 2021

On 8/19/21 Licensing Program Analyst (LPA) Walters conducted a Case Management inspection with Care Coordinator, Jennifer Ramos. The Administrator was not available for today's visit. This is a residential memory care facility, the current census is 48. There were 6 staff on duty providing care and supervision. While conducting a complaint inspection, LPA observed the following area of non-compliance: At approximately 10:30 AM while on tour, LPA observed, that the facility exit was obstructed using a ply wood board from the exterior. The ply wood was screwed into the door frame with nails, preventing residents from exiting or opening the exit door. Maintenance Staff, immediately unscrewed the nails. Pictures were taken and will remain on file. JR, stated that the auditory alarm and delayed egress on the facility exit was malfunctioning, a ply wood board was placed on the exit door, to prevent the alarm, from continuing to sound. JR understands that all EXIT's must be unobstructed. The facilities plan of operation and emergency disaster plan shall address the needs of residents with dementia, including: Safety measures to address behaviors such as wandering when delayed egress is not functional. JR also understands that all incidents are to be reported to CCL. Continued on 809-C 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 and appeal of rights provided. A civil penalty for $500.00 was assessed during today's visit. Due to a computer malfunction all reports from this date were erased from the database, original copies with signatures are on file and this 9099 is just to memorialize in the database the 10 day was completed timely.