Follow-up·December 19, 2024

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to complete a case management inspection related to a waiver request submitted to the Department on 12/18/24. LPA met with Balwinder Rai, Administrator, and stated reason for the inspection. During today's inspection, LPA and the Administrator discussed the current residents and their care needs, including if any resident needs a two-person transfer. The Administrator indicated that there are always (2) staff on site at all times to provide care when needed. Also discussed was how the waiver request was submitted, in error, for a resident (R1) who already lives at the facility, and the request should be for a potential resident (R2) who has not moved in yet. LPA obtained an updated waiver request as well as a current physician's report for (R2) noting the diagnoses. LPA confirmed there are currently (4) residents living in the home and (1) resident is expected to return from skilled nursing by end of this month. The waiver is needed since there is currently (1) resident (R1) who is under the age of 60 years. LPA to provide paperwork obtained today to LPM for review. LPA to follow up with Administrator as soon as possible, by tomorrow, 12/20/24, if possible. There are no deficiencies issued in this report. Exit interview. Copy of report provided.