Facility Evaluation Report

On 1/26/23, LPA Mknelly returned to follow-up from 1/25/23 Annual inspection.

LPA followed the department's covid 19 procedures, wore a surgical mask and was screened by staff.

LPA informed caregiver of the reason for the visit.

On 1/25/23 violations were not cited due to technical malfunction;

On 1/25/23 LPA observed: Licensee has not insured that quarterly fire drills are completed and there is a resident with dementia in care. At today's inspection, caregiver presented a Fire Drill report for a 1/25/23 fire drill. However, caregivers were unaware of the drill conducted and Licensee and others stated as participating were not present.

The fire alarm in room 3 had a disabled fire alarm that has been removed and not replace. On 1/26/23, LPA observed the smoke alarm in place and operational.

Both constitute an immediate risk to resident.

LPA observed that issue that repairs had been done to damaged wall, a broken closet slider was removed and beds were rearranged to clear the sliding door fire exit.

As a result of this the visits on 1/25/23 and 1/26/23, he following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care.

Report reviewed with Audrey Whittaker Brissett . Copy of this report and appeal rights provided.