Facility Evaluation Report

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted a Case Management- Deficiencies visit in conjunction with Complaint control # 22-AS-20230919143528 .

On today's date, on or about 3:40pm as LPA Quiroz was walking towards entrance of facility, LPA Quiroz detected cigarette smell coming from the garage area. LPA Quiroz observed garage door opened, and observed Caregiver 1 (CG1) inside the garage area. While LPA Quiroz was interviewing (CG1), LPA Quiroz observed cigarette smoke throughout the garage area. (CG1) verified cigarette smell/smoke in garage area verifying smoking in garage area. During today's record review, LPA Quiroz verified Resident 1 (R1) who is in close proximity to garage area has oxygen in use.

During today's visit, the following deficiency was observed: California Code of Regulations (CCR): 87618 (b)(3)(C) Oxygen Administration - Gas and Liquid : (b)In addition to Section 87 611 (b), the licensee shall be responsible for the following:(3)Ensuring that the use of oxygen equipment meets the following requirements:

(C)Smoking shall be prohibited where oxygen is in use.

Copy of CCR-87618(b)(3)(C) was provided to (L/AD) via email.

Today's report was reviewed with Lead Caregiver Kristine Guevarra and (L/AD) Almiranez via telephone and a copy of this report, LIC 809-D, LIC 811- Confidential name and Appeal Rights were provided at exit.