Facility Evaluation Report

Licensing Program Analyst (LPA) K. Canela arrived unannounced for the purpose of following up on information received from North Bay Regional Center. LPA arrived to observe and address concerns received. During inspection, LPA observed deficiencies previously discussed during case management inspection (see report dated 09/12/2022).

LPA toured the facility and observed resident (R1)'s bedroom to have a strong urine smell. LPA discussed with Administrator regulation 87625(b)(3) , that the facility must be free of odors.

Additionally LPA observed residents (R1, R2, R3) to have half bed-rails (photos taken). Additionally R3 had a lap belt in wheelchair. LPA discussed with Administrator that half bed-rails require an order from the resident's physician for assistance with mobility, because bed rails can be used as a form of restrain for residents. Administrator to request the approval of an exception for postural supports for R3's lap belt in wheelchair.

LPA observed individual (I1) in the facility providing care to resident (R2). LPA discovered I1 has been in the facility several times and has never signed in to the facility. Due to time restraints, LPA will return to review and issue citations warranted.

Deficiencies cited from the California Code of Regulations, (Title 22, Division 6) on the attached LIC809-D page. Failure to correct the deficiencies and/or repeat deficiencies within a 12- month period may result in civil penalties. Exit interview conducted with Administrator, whose signature below confirms receipt of report.