Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced Plan of Correction (POC) visit. LPA met with House Manager, Lawrence Santos, who was informed of the purpose of the visit. LPA conducted a walk through, interviews, and records review to verify the POCs from the annual required visit conducted 05/13/2025.

The following deficiencies were corrected and cleared during today's POC visit:

Deficiency cited under California Code of Regulations (CCR) Title 22 section 87202(a) Fire Clearance for (1) resident who is evaluated as bedridden. The facility does not have a bedridden fire clearance. POC was to call their local fire department and inform them on the bedridden resident in the home. The licensee agreed to issue an eviction notice or apply for a bedridden fire clearance for the (1) resident by the POC due date of 05/14/2025. LPA interview the house manager and reviewed the updated LIC602 for the resident showing they are non ambulatory evaluated 05/21/2025. Therefore, the POC was met and the deficiency was cleared at the time of the visit.

Deficiency cited under California Code of Regulations (CCR) Title 22 87411(a) Personnel Requirements - General based on records review, interview, and observation the facility was not sufficiently staff based on (1) resident identified to have wandering behaviors at night and no awake night staff.