Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown arrived at the facility 07/28/2022 at 09:00 AM unannounced in order to initiate a Case Management visit. LPA Brown met with Administrator Michael Garcia and LPA Brown explained the purpose of today's visit.

During the visit last 04/25/2022 at 12:30 PM, LPA Brown pressed the pull button/cord at room number #116 located near the resident bed and LPA Brown observed the call button/pull cord is not working. LPA Brown pressed the pull button/cord at resident bathroom and LPA Brown observed that it works and creates a sound at the reception area to inform staff that resident on that room number needs help. LPA Brown informed Administrator Garcia that the call button near the residents’ bed needs to be fix and Administrator Garcia said "I'll fix that today." Administrator Garcia also added that they assigned two (2) staff and one (1) staff reliever at the Memory Care available to assist the residents. LPA Brown pressed the call button at resident bathroom (room #116) and it took 5 minutes for a staff to arrive to help. LPA Brown will be issuing a citation for the observed pull button/cord not working near the resident bed as this deficiency poses immediate risk to residents in care.

In addition, LPA Brown reviewed facility's incident reports and LPA Brown did not find any Incident Reports that the facility submitted to Community Care Licensing Division (CCLD) to report R1's unwitnessed falls and LPA Brown will issue a citation for not reporting R1's unwitnessed falls at the facility as this pose potential risk to residents in care.

An exit interview was conducted where this report (LIC809), LIC809D and Appeal Rights were discussed and provided to Administrator Michael Garcia.