Complaint Investigation Report

LPA tested the facility's smoke detectors and found them to be operational. Two residents were observed to be residing in a room cleared for staff use. Review of resident records revealed that 2 of 5 residents are bedridden. Review of the facility's fire clearance and license revealed that the facility does not have a fire clearance for retaining bedridden residents.

The Department has investigated the above-mentioned allegation and based on observation and record review, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. A civil penalty in the amount of $500 has been assessed during today's visit.

An exit interview was conducted with Caregiver Rosio Maribel Ferrer with Administrator Maria Eugenia Castro on the telephone, and a copy of this report, the LIC421IM (7/17), and the Licensee Appeal Rights (LIC9058 01/16) were provided to Rosio Maribel Ferrer via hard copy.