Follow-up·May 20, 2022

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Case Management visit and met with staff, Tammi Marshall. Licensee, Lisa Melo arrived later. LPA/Licensee reviewed PIN 22-07, 22-09, 22-13, 22-15 & 22-16. During today's visit LPA/Licensee observed that the facility outside deck is under remodel process and construction. The area of the construction in the south side of the facility is accessible to four residents in care, their bedrooms lead to the construction area and doors have caution tape around it and each bedroom has an auditory alarm to alert staff if residents open the sliding doors. There are red cones and no constructions tools were observed in the construction area. Tools and debris was observed by the facility fence located south side of the facility. Per Licensee, the city did not issue a permit because the deck is just being replaced and all the deck construction will be completed by the first week of June 2022. LPA also reviewed four resident's Physician reports (LIC602) that confirmed that residents don't have a diagnosis of Dementia. LPA discussed with Licensee the importance of resident's safety throughout the construction project. Licensee assured LPA that the construction staff and facility staff will make sure that safety precautions regarding tools, toxins and exposure to safety hazards will addressed daily and while construction crews are on site and after the daily construction work is completed. No deficiencies cited during today's inspection.