Facility Evaluation Report

Licensing Program Analysts (LPA) Martessa Brown conducted an unannounced case management visit at the facility and met with Caregiver and later was met by Jehn Dema, Manager and discuss the purpose for todays visit.

During the Annual Inspection visit that was conducted on 3/18/22, LPA observe residents in rooms #2 and #3 were bedridden. On 3/21/22 LPA returned to the facility and conducted a interview with resident #1 in room #3. R1 stated was unable transfer from bed to wheelchair/walker and unable to reposition self without assistance. R1 also stated shares a room with R2 and is also bedridden. LPA could not interview R2 due to resident being in the hospital. LPA reviewed residents #1-5 physicians reports and Appraisal reports. Resident #2 physicians report indicated is bedridden. The facility is approved to retain one bedridden resident in room to which the ambulatory status has been determine by a physician. Residents in room #3 are bedridden.

The following deficiency is being cited in accordance with California Code of Regulations, Title 22, Division (6) and Chapter (8) on the attached LIC 809D. Appeal rights given.

Exit interview conducted and report was given to Jehn Dema.