Follow-up·December 20, 2023

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection related to a recent fire clearance update. LPA met with Janeyn Kelly, Administrator, and explained purpose of inspection. Also present were Jhamil Espino, Licensee, Jacob Espino, caregiver, and Flocerfida Manalac, caregiver. LPA received an updated fire clearance on 12/19/23 from the local fire department permitting residents to have a non-ambulatory status in rooms #1, 2,3, 4, 5 and 6. Additionally, (1) resident that is bedridden can be placed in room #3. LPA and Administrator toured the facility and observed the recent modifications made in room #4 entailing a window being converted to a glass sliding door. (5) resident rooms are occupied and residents' ambulatory status meets the fire clearance. Currently room #2 is vacant but fully furnished. LPA observed all residents to indicate they are doing well. LPA observed the facility to be clean, in good repair and Licensee to be preparing lunch in the kitchen. LPA issued an updated copy of the facility license to reflect the recent changes approved by the local fire department. Administrator provided LPA with an updated copy of the LIC610E (Emergency Disaster Plan for RCFE) which includes the new exit added to room #4. Administrator stated all resident rooms are approved exits also per the fire department. An updated copy of liability insurance was also obtained. There are no deficiencies issued in this report. Exit interview. Copy of report provided to the Administrator.