Health inspection·October 20, 2023

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review for two of 21 sampled residents (Resident 45 and Resident 148), the facility failed to ensure the call button was within reach of Resident 45 and to ensure there was a functioning call light for Resident 148. Residents Affected - Few Those deficient practices had the potential to result in the needs of residents not being met, and to cause incidents leading to injuries. Findings: A review of Resident 45's admission Record indicated the facility admitted Resident 45 on 7/5/8/2023 with diagnoses including cerebral infarction (stroke -when blood flow to a part of your brain is stopped either by a blockage or rupture of a blood vessel), transient ischemic attack (TIA - a temporary blockage of blood flow to the brain), and muscle weakness (lack of physical or muscle strength). A review of Resident 45's History and physical (H+P) dated 7/7/2023 indicated Resident 45 had the capacity to understand and make decisions. A review of Resident 45's Minimum Data Set (MDS - a standard assessment and care screening tool) dated 7/12/2023, indicated Resident 45 had cognitive (relating to the processes of thinking and reasoning) impairment. The MDS also indicated Resident 45 required extensive two staff assist for bed mobility, dressing and personal hygiene. A review of Resident 148's admission Record indicated the resident was originally admitted to the facility on [DATE], with diagnoses including, but not limited to, muscle weakness, Parkinsonism (a clinical syndrome characterized by tremor, slow movements, rigidity, and postural instability), difficulty walking, and major depressive disorder (a mental condition characterized by a persistently depressed mood and long-term loss of pleasure or interest in life). A review of Resident 148's Quarterly Minimum Data Set (MDS- a standardized assessment and screening tool) dated 10/11/2023, indicated the resident had moderately impaired cognition. The MDS indicated the resident required partial/moderate assistance with chair to bed transfer, lower body dressing, toilet transfer, personal hygiene, and bathing. During a concurrent observation and interview on 10/17/2023 at 7:49 A.M., with Resident 45, Resident 45 was observed with the call button on the right side of his bed. When asked if the resident knew how to call the nurses when he needed help, Resident 45 shook his head up and down then, with his Page 1 of 14 055160 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few left hand, pointed to the call button on his right side of his bed. Furthermore, Resident 45 pointed to his right arm with his left hand then immediately moved his left-hand from side to side and used a high pitch sound stating that he had a stroke. During a concurrent observation and interview on 10/17/2023 at 7:55 A.M., with Certified Nursing Assistant 1 (CNA), CNA 1 stated Resident 45 had a history of stroke with right sided weakness. CNA 1 further stated call button should be on the left side of Resident 45 on his good side. During an interview on 10/20/2023 at 5:05 P.M., with Director of Nursing (DON), the DON stated call button should be easily accessible to the residents for calling the nurses. If a call button is not within reach of residents, staff may not know when the residents are calling, and these residents may be at high risk for falls. During an initial tour of the facility on 10/17/2023 at 8:18 A.M., Resident 148 was observed in his room, lying in his bed, awake, alert. When asked about his call cord, Resident 148 looked around his bed but could not find it. During the same observation, CNA 1 was in the vicinity and was asked where the call cord for Resident 148 could be found. CNA 1 reached for the call cord from under Resident 148's mattress and bed frame to retrieve the call cord then placed it within reach of Resident 148. During the concurrent observation and interview, CNA 1 stated, call cords are the resident's way of calling for assistance and should be placed within reach of each Resident. CNA 1 stated not placing call cord within reach for residents can cause a delay helping a resident in need of urgent care. During an interview on 10/20/2023 at 4:26 P.M., with the DON, the DON stated, call lights are a mechanism for residents to promptly communicate their needs with Nursing staff. The DON further stated all call cords should be placed within the residents reach and should be accessible so as to maintain necessary communication with all residents. A review of the facility's policy and procedure titled Communication -Call System, dated 1/1/2012, indicated call cords will be placed within the resident's reach in the resident's room. 055160 Page 2 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure residents' clinical records were updated about advance directives (written statement of a person's wishes regarding medical treatment made to ensure those wishes are carried out should the person be unable to communicate them to a doctor) for five one of five sampled residents (Resident 14) by failing to maintain documentation of the residents' advance directives in the residents' clinical records. This deficient practice had the potential to cause conflict with the residents' wishes regarding health care (Resident 14). Findings: A review of Resident 14's admission Record indicated the resident was originally admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses that include encephalopathy (damage or disease that affects the brain), schizoaffective disorder (a mental condition combined with symptoms of schizophrenia [mental disorder in which people interpret reality abnormally] and mood disorder [a mental health problem that primarily affects a person's emotional state]) and cognitive communication deficit (difficulty with thinking and how someone uses language). A review of Resident 14's Minimum Data Set (MDS-a standardized screening tool) dated 7/5/2023, indicated Resident 14 had impaired cognition (when a person has trouble remembering, learning new things, concentrating, or making decisions that affect their everyday life). Resident 14 required extensive assistance with bed mobility, transfer and total dependance on dressing, eating, toilet use and personal hygiene. During a concurrent interview and record review on 10/17/2023 at 11:43 A.M., with the Director of Social Services (DSS), Resident 14's medical chart was reviewed. The DSS stated the facility's process for obtaining resident's advanced directive was within 48 hours of a resident's admission. The DSS stated the DSS completes an advance healthcare directive (ADCD) acknowledgement form. The DSS further stated the ADCD form informs a resident of his/her rights regarding advanced directive and the ADCD also informs the facility whether the resident has an advanced directive. The DSS also stated a resident may request for additional information or may not be interested in more information on the advanced directive. The DSS stated Resident 14, does not have an advanced directive and has not completed advanced healthcare directive acknowledgement form. The DSS further stated, It was not done [offer Resident 14 advanced directive]. I should have done it. A review of the facility's policies and procedures titled 'Advance Directives' revised on 7/2018 indicated, Upon admission, the admission Staff or designee will obtain a copy of a resident's advance directive and instructs A copy of the resident's advance directive will be included in the resident's medication record. Purpose is to ensure that the facility respects advance directives. 055160 Page 3 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0645 PASARR screening for Mental disorders or Intellectual Disabilities Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to follow through with the Preadmission Screening and Resident Review (PASRR) recommendation to obtain a PASRR level II evaluation for two of two sampled residents (Resident 4 and Resident 17). Residents Affected - Few This deficient practice had the potential to result in inappropriate placement and unidentified specialized services for Resident 1. Findings: A review of the Resident 4s admission record indicated Resident 4 was re-admitted to the facility on [DATE], with diagnoses that included schizophrenia (a chronic [ongoing] and severe mental disorder that affects how a person thinks, feels, and behaves), and major depressive disorder (a mental condition characterized by a persistently depressed mood and long-term loss of pleasure or interest in life) and delusional disorder (a fixed false belief based on an inaccurate interpretation of an external reality despite evidence to the contrary). A review of Resident 4's PASRR completed on 7/22/2023, indicated the need for Level II PASRR evaluation. A review of Resident 4s Minimum Data Set (MDS-a standardized assessment and screening tool) dated 7/10/2023, indicated Resident 4 had intact cognition, can make self-understood, and is able to understand others. The MDS indicated Resident 4 was independent with bed mobility and transfer, requires extensive assistance with dressing, toileting and needs limited assistance with bed mobility. A review of Resident 4's history and physical (H&P) dated 07/22/2023, indicates Resident 4 had the capacity to understand and make decisions. A review of Resident 17's admission record indicated Resident 17 was re-admitted to the facility on [DATE], with diagnoses that included major depressive disorder, psychotic disorder with delusions (a belief or altered reality that is persistently held despite evidence or agreement to the contrary) and delirium (a mental state in which a person is confused, disoriented, and not able to think or remember clearly). A review of Resident 17s PASSR completed on 6/1/2023, indicated the need for Level II PASRR evaluations. A review of Resident 17s MDS indicated dated 9/4/2023, indicated Resident 17 cognitive (mental action or process of acquiring knowledge and understanding) skills for daily decisions were severely impaired. The MDS indicated Resident 17 required extensive staff assistance for moving in bed, transferring to bed to chair, personal hygiene and is totally dependent for personal hygiene. A review of Resident 17s H&P dated 5/31/2023, indicated Resident did not have the capacity to understand and make decisions. During an interview with the Director of Nursing (DON)on 10/20/2023 at 4:32 P.M., the DON stated the MDS coordinator is responsible for overseeing PASRR. The DON further stated, the MDS did not 055160 Page 4 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0645 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few follow through with a PASRR representative regarding Resident 4 requiring PASSR Level II evaluation. The DON stated the facility should have followed up with the State regarding needed PASRR II evaluation to ensure appropriate placement for the residents and that the residents received specialized required services if needed. A review of the facility's revised policy and procedures titled, admission Screening Resident Review (PASRR) dated 9/7/2023, indicated, the facility will complete a PASRR level II if triggered. Policy further states facility will have PASRR administrators with access to the State PASRR electronic website and facility MDS coordinator will be responsible to access and ensure updates to the PASRR are completed per MDS guidelines. 055160 Page 5 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Based on intervention and record review the facility failed to initiate and implement a care plan for Continuous positive airway pressure (CPAP-is a common treatment for obstructive sleep apnea) therapy as ordered by a medical doctor (MD) for one of two sampled residents (Resident 99). This deficient practice had the potential to not provide person-centered, comprehensive, and interdisciplinary care that reflets best practice standards for meeting health, safety, psychosocial, behavioral, and environmental needs of residents in order to obtain or maintain the highest physical, mental and psychosocial well-being for Resident 99. Findings: A record review of Resident 99's admission Record indicated the facility admitted Resident 99 on 9/29/2023 with medical history including intervertebral lumbar disc degeneration (loss of cushioning and herniation related to aging), hypertensive heart disease with heart failure (a chronic condition in which the heart does not pump blood as well as it should), type 2 diabetes (the body's inability to process sugar), asthma (inflamed airways), fibromyalgia (muscle pain and tenderness), muscle weakness, sleep apnea (a potentially serious sleep disorder in which breathing stops and starts), peripheral autonomic neuropathy (weakness, numbness, and pain from nerve damage), and gastro-esophageal reflux disease (a digestive disease in which stomach acid irritates the food pipe). A record review of Resident 99's Minimum Data Set (MDS-a standardized assessment and care screening tool), dated 10/05/2023, indicated Resident 99 was cognitively intact. The same MDS indicated Resident 99 required extensive one -person physical assistance with bed mobility, transfers, dressing, toilet use and personal hygiene. A record review of Resident 99's Order Summary Report dated 10/2/2023, indicated apply CPAP machine at bedtime and to remove in the morning for sleep apnea (a potential serious sleep disorder in which breathing repeatedly stops and starts). During an interview with Resident 99 on 10/17/2023 at 10AM, Resident 99 stated she had a CPAP machine by her bedside, but no one help her apply it at bedtime. During an interview and record review with MDS Nurse on 10/19/2023 at 2:00PM, Resident 99's care plan, indicated the Resident had altered respiratory status with difficulty related to sleep apnea, dated 10/2/2023. MDS Nurse stated, the care plan does not include to apply a CPAP machine. MDS Nurse stated the CPAP should be included in Resident 99's plan of care so that nurses are aware and apply it as ordered by the Physician. A record review of the facility's policy and procedures titled, Comprehensive Person-Centered Care Planning dated 9/2018, indicated, to ensure that a comprehensive person-centered care plan is developed for each resident. It is the policy of the facility to provide person-centered, comprehensive, and interdisciplinary care that reflets best practice standards for meeting health, safety, psychosocial, behavioral, and environmental needs of residents in order to obtain or maintain the highest physical, mental and psychosocial well-being. 055160 Page 6 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review for one of six sampled residents (Resident 31), the facility failed to follow, transcribe physicians' orders for a surgical (cutting into the skin) wound care in accordance with the facility's policy and procedures (P&P) titled Physicians Orders revised on 8/21/2020, . Residents Affected - Few This deficient had the potential to result in infection and hospitalization for Resident 31. Findings: A review of Resident 31's admission Record indicated Resident 31 was admitted at the facility initially admitted on [DATE]/2023 and was readmitted on [DATE] with diagnoses including left leg below the knee amputation (surgical removal of part of the body), diabetes mellitus (DM - a chronic condition that affects the way the body processes blood sugar [glucose]), and hypertension (HTN - elevated blood pressure). A review of Resident 31's Minimum Data Set (MDS - a standard assessment and care screening tool) dated 9/30/2023, indicated Resident 31 was cognitively intact. The MDS indicated Resident 31 required extensive two staff assist for bed mobility, toilet use, dressing and transfers. A review of Resident 31's Interfacility (transfer of patients between two healthcare facilities) transfer report dated 9/26/2023, indicated to change Resident 31's surgical or wound dressing in 24 hours. Keep the incision site clean and dry. During an interview on 10/17/2023 at 1:13 P.M., with Resident 31, Resident 31 stated he had a left below the knee amputation about a month ago. Resident 31 further stated the facility was not providing treatment or monitoring Resident 31's left below the knee amputation. During a concurrent interview and record review on 10/20/2023 at 10:36 A.M., with the Treatment Nurse (TN), Resident 14's interfacility transfer report and Treatment Administration Record (TAR -tracker for treatment given) were reviewed. The TN stated there was no documented evidence that the facility carried out the interfacility transfer orders for Resident 31. The TN stated, There is nothing. They (orders) should have been there. TN further stated order should have been followed to monitor the site. If orders are not followed, it can be dangerous to the patient leading to infections and bleeding. During an interview on 10/20/2023 at 5:06 P.M., with the Director of Nursing (DON), the DON stated a physician's order must be verified and carried out upon a resident's admission. The DON stated failure to verify and carry out a physician's order could place the resident at increased risk for infection. A review of the facility's P&P titled Physicians Orders revised on 8/21/2020, indicated, the licensed nurse will confirm that physicians' orders are clear, complete and accurate as needed . The licensed nurse receiving the order will be responsible for documenting and carrying out the order. 055160 Page 7 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0685 Assist a resident in gaining access to vision and hearing services. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on intervention and record review the facility failed to follow up and make arrangements after a medical doctor's recommendation for cataract (clouding or loss of transparency of the lens in the eye as a result of tissue breakdown and protein clumping) surgery (a procedure to remove the lens of the eye and replaces with an artificial lens) for one of one sampled resident (Resident 39) in accordance with the facility's policy and procedures titled, Referrals to Outside Services dated 12/01/2013. Residents Affected - Few As a result, Resident 39 was concerned that his vision was getting worse. Findings: A record review of Resident 39's admission Record indicated Resident 39 was admitted on [DATE] and was readmitted on [DATE] with medial history including chronic atrial fibrillation (an irregular, often rapid heart rate that commonly causes poor blood flow), type 2 diabetes( body's inability to process sugar) with chronic kidney disease (longstanding disease of the kidneys), congestive heart failure (a chronic condition in which the heart does not pump blood as well as it should), hypertensive (elevated blood pressure), anemia (a condition in which the blood does not have enough health red blood cells). A record review of Resident 39's Minimum Data Set (MDS-a standardized assessment and care screening tool), dated 8/24/2023, indicated Resident 39 is moderately cognitively intact. The same MDS indicated the resident's vision was moderately impaired. A record review of Resident's 39's Plan of Care, dated 7/26/2022, indicated Resident 39 was at risk for falls related to vision problems. The goal indicated Resident 39 will be free of falls through the review date. Interventions indicated that Resident 39 will not sustain injury through the review date and to anticipate the resident's needs. A record review of Resident 39's Plan of Care dated 7/26/2022, indicated Resident 39 had impaired visual function related to diabetes. The goal indicated Resident 39 will show no decline in visual function through the review date, and the resident will have no indications of acute eye problems through review date. Interventions arrange consultations with eye practitioner as required, monitor/document/report PRN (as necessary) any signs and symptoms of acute eye problems, change in ability to perform activities of daily living decline. During a record review of Resident 39's Ophthalmology (a branch of medical science dealing with the structure, functions, and diseases of the eye) Report dated 6/6/2023, indicated a recommendation for cataract treatment to right and left eye for Resident 39. During an interview with Resident 39 on 10/17/2023 at 10 AM, Resident 39 stated, a medical doctor (MD) came to check his vision a couple months ago and no one has followed up with the MD. Resident 39 stated, he was concerned that his vision has been getting worse. During an interview with Director of Social Services (DSS) on 10/18/2023 at 12 PM, DSS stated, Resident 39, does not have insurance that covers cataract surgery. During an interview with DSS on 10/19/2023 at 10 AM, DSS stated he had not followed up with the 055160 Page 8 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0685 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few ophthalmologist recommendation for cataract surgery and did not provide any documentation to support his statement that Resident 39 did not have insurance that covers cataract surgery. DSS stated he had not contacted any insurance or made any arrangements for Resident 39 for cataract surgery. During an interview with Director of Nurse on 10/19/2023 at 11 AM, DON stated she was not aware of the ophthalmology recommendation and that the facility has not followed up. DON stated DSS is responsible to take the arrangements, but this was not done. A record review of the facility's policy and procedures titled, Referrals to Outside Services dated 12/01/2013, indicated the Director of Social Services coordinates the referral of residents to outside agencies to fulfill resident needs for services not offered by the facility. The Director of Social Services or his or her designee will coordinate with Nursing Staff to ensure that the Attending Physician's order and referral to outside provider is documented in the resident's medical record. 055160 Page 9 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0911 Level of Harm - Potential for minimal harm Residents Affected - Some Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to meet the requirement of no more than four resident per for room for two of 20 resident rooms (rooms [ROOM NUMBERS]). This deficient practice had the potential to result in inadequate space to provide sufficient nursing care and privacy for the residents. Findings: During a facility tour upon entrance to the facility for an unannounced recertification survey on 10/17/2023. rooms [ROOM NUMBERS] were observed to have five residents in per room. The residents residing in rooms [ROOM NUMBERS] were observed with enough space for residents to move freely inside the room. There was adequate room for their operation and use of wheelchairs, walkers, or canes. The room variance did not affect the care and services provided by nursing staff. During the Resident Council Meeting on 10/19/2023 at 11:35 a.m., when the residents were asked about their room space, there were no concerns or issues brought up. On 10/20/2023, the administrator submitted a letter requesting for a waiver for rooms with more than four residents per room for the following rooms: -room [ROOM NUMBER]-with five residents -room [ROOM NUMBER]-with five residents A review of the Client Accommodation Analysis form completed by the facility on 10/20/2023, indicated room [ROOM NUMBER] and room [ROOM NUMBER] housed five beds per room. The request letter for room wavier continued to indicate, there is adequate room for the operation and use of wheelchairs, walkers, canes. The room variance does not affect the care and services provided by nursing staff for the resident. Each room provides ample light and ventilation. The rooms are in accordance with the special needs of the residents and would not have an adverse effect on the residents' health or safety or impede the ability of any resident in the rooms to attain his or her highest practicable well-being. 055160 Page 10 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0912 Level of Harm - Potential for minimal harm Residents Affected - Some Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Based on observation, interview and record review, the facility failed to ensure that 18 of 20 resident rooms, (Rooms 4, 5, 6, 7, 8, 9, 10, 11, 14, 15, 16, 17, 18, 19, 20, 21, 22, and 24) met the square footage requirement of 80 square feet (sq.ft.) per resident in multiple resident rooms. This deficient practice had the potential for inadequate space for resident care and mobility due to the demonstrations of the resident room space being less than 80 sq.ft. Findings: During the recertification survey from 10/17/2023 to 10/20/2023, the residents residing in the rooms with an application for variance were observed with sufficient amount of space for residents to move freely inside the resident rooms. There was adequate room for the operation and use of wheelchairs, walkers, or canes. The room variance did not affect the care and services provided by nursing staff for the residents. On 10/18/2023, the Administrator (ADM) submitted a request letter for the Room Variance wavier for 18 resident rooms. A review of the room variance request letter submitted by the ADM indicated that these rooms with variance did not meet the 80 square feet per resident requirement per federal regulation. The room waiver request showed the following: Room # Square Footage (sq ft) Bed Sq Ft per Resident Capacity 4 154.9 2 77.45 5 154.9 2 77.45 6 154.9 055160 Page 11 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0912 2 Level of Harm - Potential for minimal harm 77.45 7 Residents Affected - Some 154.9 2 77.45 8 154.9 2 77.45 9 154.9 2 77.45 10 220.9 3 73.63 11 220.9 3 73.63 14 220.9 3 73.63 15 220.9 3 73.63 055160 Page 12 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0912 16 Level of Harm - Potential for minimal harm 220.9 3 73.63 Residents Affected - Some 17 220.9 3 73.63 18 220.9 3 73.63 19 220.9 3 73.63 20 220.9 3 73.63 21 220.9 3 73.63 22 220.9 3 73.63 24 316.34 4 79.08 The minimum requirement for a 2 bedroom should be at least 160 sq.ft. 055160 Page 13 of 14 055160 10/20/2023 Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard Los Angeles, CA 90035

F 0912 The minimum requirement for a 3 bedroom should be at least 240 sq.ft. Level of Harm - Potential for minimal harm The minimum requirement for a 4 bedroom should be at least 320 sq.ft. Residents Affected - Some The Room waiver request letter continued to indicate, these rooms do not pose any kind of risk or safety to residents' mental, or psychosocial well-being. Each room has access to the outside and provide ample sunlight and ventilation. During the Resident Council Meeting on 10/19/2023 at 11:35 a.m., when the residents were asked about their room space, the residents denied any concerns or issues for their rooms space. 055160 Page 14 of 14