Health check·October 28, 2024

On 10/28/24 at 11:15am Licensing Program Analyst (LPA) Javina George made an unannounced case management-Health and Safety check at the facility. LPA was greeted and granted entry by Administrator, Janette Vega Racelis and explained the purpose of the visit. At the time of the visit there were three (3) staff and five (5) resident's present. All staff were observed to have obtained criminal record clearance and were associated to the facility. The facility has an approved hospice waiver for four (4) residents. The facility has a total of (3) residents that are receiving hospice services. The facility was observed to be operating within the capacity in which it was licensed for. The utilities were observed to be operable and the food supply met the requirements; of a 7 day supply of nonperishable and a 2 day supply of perishable food items. The facility has hygiene supplies, extra linen and Personal Protective Equipment (PPE) supplies. The resident's were observed (1 sleeping, 1 watching TV in their bedroom. 2 watching TV in the common area, 1 sitting at the table). Lunch was also served during LPAs visit. The resident's medications, cleaning supplies and sharps were locked and inaccessible residents. LPA spoke with administrator reagrding any incidences that have occurred since the last department visit where they had to call 911 for assistance. Per Administrator Janette, the unusual Injury report was submitted, and stated that there was one (1) instance where emergency medical personnel had been contacted for assistance due to Resident #1 (R1) due to an unwitnessed fall on 08/26/24. There were no health and safety concerns observed, during today's visit. An exit interview was conducted, and a copy of this report, and LIC 811-Confidential names list was discussed and provided.