Facility Evaluation Report

Licensing program analyst, LPA, Noel Wolf Petersen, arrived unannounced to the facility to conduct a case management related to a recent report by the stockton fire department, LPA met with the administrator Monica Plowden by phone, to explain purpose of the visit.

LPA toured the facility with the care giver on staff. There are 4 residents in the facility, 1 is obviously ambulatory(R1), the remaining 3 are in bed. LPA asked 2 residents in bed to demonstrate that they can rotate, two are able to rotate unassisted(R2, R3). Resident(R4), not able to Rotate independantly, resident(r4) in interview made the statement that he needs assistance with rotation. Seperately, care staff in interview made statement that r4 needs assistance with rotation.

Administrator provided a statement that there has not been a 602 assessment for the r4, and emailed the LPA a doctors note stating that the client is considered nonambulatory as opposed to bedbound. Administrator provided a statement that an a 602 assessment is scheduled for R4 on 5/12/26. regarding a previous citation for fire clearance that was issued regarding r4, the LPA believes that POC is still being addressed at this time in good faith.

Licensee is unsure at this time if she will make the corrections from the fire department to conform to bedridden status, LPA is asking for the delivery of concrete decision about whether to pursue the bedridden clearance on 5/13/26 and a copy of the R4's upcoming 602 to be sent to the LPA (noel.wolfpetersen@dss.ca.gov). LPA gave guidance that in choosing not to pursue a bedridden fire clearance, the licensee should immediately assist R4 with alternate accommodation.

No citations issued as part of this visit, a copy of the report was read and given to the administrator via email signed by designated signatory, Medline cole, exit interview was conducted.