Facility Evaluation Report

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct a Case Management inspection and met with Administrator, Charleen Vierra.

LPA is following up regarding a self-reported Incident Report received on 7/15/2022 regarding three residents who were being isolated due to Covid-19. Report revealed that facility staff were using towels and garbage bags wrapped around resident doors in order to contain them. On 7/9/2022 resident, R1 pulled the silent fire alarm prompting a response from the local fire department who observed the towels on the doors, per Special Incident Report.

Facility is being cited today for 87203 Fire Safety violation with an immediate Civil Penalty in the amount of $500. & 87468.1(a)(6) Personal Rights violation

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided..