Facility Evaluation Report

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of investigating a complaint (#18-AS-20210818093958). During LPA Colvin's inspection, LPA Colvin observed additional items that needed to be addressed with the Administrator. Below is a summary of what was observed:

During LPA Colvin's inspection today, LPA Colvin was unable to access staff files, as they were not on site at the facility. Facilities are required to have all files available to Licensing to inspect at all times. D eficiency cited . Additionally, during LPA Colvin's review of resident files, LPA Colvin observed that one resident (R1) is classified as bedridden based on their Physician's Report from 2/25/21. The facility does not currently have a fire clearance for bedridden residents and does not have a program plan for caring for bedridden residents as well. Usually, a violation of the fire clearance would result in an immediate civil penalty of $500, however, LPA Colvin was informed by the Administrator that R1 has been served with a 30-day eviction notice. Health and Safety code 1569.49(c)(2)(A)(ii) states that if the eviction process has been initiated, the facility shall not be cited civil penalties. LPA Colvin will still be citing a deficiency and the facility shall either have R1 relocated or apply for bedridden clearance through Community Care Licensing. Deficiency cited .

An exit interview was conducted where this report and appeal rights were discussed. A copy of this report, LIC809D, and appeal rights was provided to caregiver Carmita Smith during the exit interview. All reports additionally will be emailed to the Administrator as well.