Follow-up·November 26, 2024

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with Magda Luis, Administrator, and stated the reason for today's inspection. The purpose of today's inspection is to issue an updated license to reflect the recently approved increase in capacity from (45) to (49) residents. Currently, there are (43) residents with (5) residents receiving hospice care. LPA discussed the increase in (4) residents with Administrator and how (34) residents may be non-ambulatory and (15) residents may be bedridden. There are no specific designated rooms for additional (4) residents; however, most rooms are approved for double occupancy. LPA and Administrator conducted a tour to observe the (4) delayed egress doors and the facility for the health and safety of the residents. One outside exit gate was tested and staff were observed to have responded promptly and the strobe lights were activated. No health or safety risks were observed. LPA was provided with a copy of an inspection report from an outside company showing that all delayed egress doors passed the inspection on 11/25/24. LPA printed an updated copy of the license. There are no deficiencies issued in this report. Exit interview. Copy of report provided to Administrator.,