Facility Evaluation Report

***This LIC 809/809D/Immediate Civil Penalty supercedes the LIC 809/809D that was issued on 04/03/25***

L PA Nicol Wesley conducted a case management visit at the facility due to a resident smoking cigarettes in a room with oxygen being administered. LPA Wesley and Administrator Sievert was conducting a tour of the facility when LPA Wesley smelled cigarette smoke. LPA Wesley asked the Administrator to knock on the door where the Oxygen sign was posted and when the resident opened the door, the room was filled with cigarette smoke. The Administrator Sievert was speaking to the resident and apparently had spoken to her about this issue before. LPA Wesley informed the residents of the danger of smoking when oxygen is in use. Also while the LPA Wesley was in the facility the second elevator was not working, which means both of the elevators were broken at the same time.

The following deficiencies were cited in accordance to the California code of regulations, Title 22. Exit interview conducted. A copy of this report was given to the Administrator, along with Appeal rights.