Facility Evaluation Report

Licensing Program Analyst Manuel Monter conducted an unannounced case management -other, regarding an eviction for resident referred to as R1. LPA met with Administrator Jean Jose and explained the purpose of the visit.

On November 16, 2024, the facility provided an eviction letter to R1; stating the reason for the eviction was due to the change in R1's status from non-ambulatory to bedridden.

On December 16, 2024, LPA Manuel Monter conducted an unannounced case management visit. LPA observed resident R1 in his/her bedroom. LPA observed R1 was able to make slight repositioning from left to right. LPA observed when ADM was assisting R1 with repositioning, R1 was holding on to trapeze bar above his/her bed to help in repositioning him/herself.

LPA interviewed R1. R1 stated he/she can move him/herself slightly to the left and right. R1 stated he/she also uses the trapeze bar above his/her bed to reposition him/herself slightly.

ADM stated she was informed that R1 had become bedridden around November 12, 2024. ADM stated she accepted R1 back to the facility, knowing the bedroom which has been cleared for bedridden use is already occupied by a non-ambulatory resident in his/her care. LPA requested to review R1's Preplacement appraisal. ADM stated she does not have one for R1. ADM stated R1 was seen before he/she moved in but they did not document the actual pre-placement appraisal. ADM stated she will be notifying the local fire department regarding the bedridden residents who are currently under their care.

Deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Administrator Jose & a copy of the signed report was provided. Appeal rights were provided.