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25 | Licensing Program Analyst (LPA) Mora conducted an unannounced plan of correction (POC) visit to follow up on deficiencies noted on 03/07/2024. LPA met with John Robles Jr (Caregiver) and explained the reason for the visit.
On 03/07/2024, LPA Mora conducted a subsequent complaint visit and the following was cited:
1. Title 22 Section Code 87204(a) - Facility was over capacity due to having a 7th resident. The facility has 5 residents. Administrator submitted a statement that they will comply with this regulation on 03/08/2024.
2. Title 22 Section Code 87307(a)(2)(B) - There was a resident residing in a room licensed as "Office". The room is now being used as intended. Administrator submitted a statement that they will comply with this regulation on 03/08/2024.
3. Title 22 Section Code 87208(a)(7)(A) - The garage was being used as a sleeping area for staff and there was no permits allowing this. Also, the garage was not licensed as a living/sleeping area for staff. During today's visit, LPA observed that the bed sheets on the bed in the garage have been removed and the bed will be stored in the garage, but be used for sleeping. The Administrator also submitted a statement that the garage will be used as intended and no one will sleep in the garage on 03/08/2024.
4. Title 22 Section Code 87307(d)(4) - There was a step down when opening a door in the kitchen area leading to a hallway that leads to the garage. This step down is not noticeable and can be a tripping hazard. This door was unlocked when LPA visited the facility. During today's visit, LPA observed that this area is now inaccessible to the residents due to Administrator installing an auto lock on the door.
5. Title 22 Section Code 87705(j) - All exit doors did not have an auditory device. During today's visit, LPA observed that all exit doors have an auditory device and were operable.
Exit interview was conducted with John Robles Jr (Caregiver) and a copy of this report was provided. |