Facility Evaluation Report

Licensing Program Analyst (LPA) Jennifer Semin conducted this case management visit in conjunction with Complaint number 18-AS-201909261128145. . LPA met with Viridiana Cisneros and spoke with Licensee Channe Carlos via telephone.

During the course of the complaint investigation on 10/3/2019, LPA was informed by Staff 2 (S2) that in order to prevent R1 from getting out of bed, Staff 1 (S1) would elevate the bed to prevent R1 from getting out of bed on their own. Staff 2 (S2) stated that S1 had demonstrated to S2 how to elevate the bed so R1 would not get out. Postural supports shall be limited to appliances or devices such as braces, spring release trays, or soft ties, used to achieve proper body position and balance, to improve a resident's mobility and independent functioning, or to position rather than restrict movement including, preventing a resident from falling out of bed. This requirement was not met as evidence by staff elevated bed to prevent R1 from getting out of bed. This poses a health and safety risk to residents in care. A deficiency will be cited.

An exit interview was conducted where this report was discussed with Channe Carlos via telephone and provided to Viridiana Cisneros .