Follow-up on corrections·March 30, 2026

Licensing Program Analyst (LPA) conducted a case management visit, on 3/30.2026 at approximately 3:32pm, and met with Administrator Douglas Blake. This case management is addressing deficiencies identified by the LPA during a complaint investigation conducted earlier today, 3/30/26. There is no exception or waiver to the fire clearance approval, and the facility is to maintain compliance with the fire clearance.Per record reviews, R1 had a medical assessment on 2/22/23 that identified a change in condition; R1 was marked as non-ambulatory, per physical condition, and was residing on the 3rd floor which is fire cleared for "ambulatory only". This is a deficiency, and will be cited, 87202(a) Fire Clearance -All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal, see LIC809D. An immediate civil penalty will be assessed in the amount of $500, see LIC421IM. Continued on LIC809C.. R1 did not have an appropriate reappraisal as required by change of condition, and after the after the medical assessment completed on 2/22/23. There was not a plan addressing resident's non-ambulatory status and move to an appropriately fire cleared unit, per a reappraisal meeting new needs of R1. This is a deficiency, and will be cited, 87463(a)(b) Reappraisals- The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal.The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident , see LIC809D. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited, Failure to correct deficiency(s) by due date(s), may result in additional deficiency citations and/or civil penalties being assessed. Exit interview conducted with Administrator Douglas Blake. Appeal Rights provided to the Administrator with report.