Follow-up·March 12, 2024

Licensing Program Analyst (LPA) Yolanda Delgado made an visit to the facility to conduct a case management visit due to an 9099D inadvertently created on December 15, 2021 for a complaint visit and needs to be address during todays visit. LPA met with Adela Fetalvo and explained the reason for the visit. LPA Delgado was granted entry. There are six (6) residents in care and two (2) staff on duty at the time of the visit. LPA Delgado toured the facility, along with the caregiver and made observations. There are no imminent health and/or safety concerns observed at the time of visit. LPA Delgado did not observed any health and/or safety hazards inside or outside of the facility at the time of this visit; LPA observed all facility utilities to be on and operating without issue. The LPA assessed the available food supply and observed there was a variety of food types, and the supply exceeds the requirement of a two day supply of perishable foods and a seven day supply of non-perishable foods. The medications were found to be in sufficient supply, locked, and inaccessible to the residents Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. For December 15, 2021 visit two (2) deficiencies were observed and civil penalties of $500 were cited at today's visit. An exit interview was conducted and a copy of this report, LIC 809D, LIC421BG and Appeal Rights was provided to the Caregiver.