Follow-up on corrections·April 18, 2023

On 04/18/2023 at 12:03 PM, Licensing Program Analyst (LPA) Melody Brown met with Memory Care Director Denise Perez to initiate Case Management Visit. The investigation consisted of observation, interviews and a review of pertinent documentation. During the facility visit last 04/18/2023 at 12:03 PM, LPA Brown reviewed documents and observed that Staff #3 (S3) have a current criminal background clearance but S3 is not currently associated to the facility. Staff interviews and records review indicated S3 had been working at the facility for five (5) years now. LPA Brown informed Memory Care Director Perez that deficiency will be issued as this pose potential health, safety and personal rights risks to residents in care. Civil Penalty was assessed with the amount of $500.00 during the Facility Visit for failure to transfer S3 Criminal Background Clearance to the facility. In addition, interviews with staffs and residents indicated that Certified Nursing Assistants (CNA)/Medical Technicians (MedTech) are performing residents' blood glucose testing. Memory Care Director Perez confirmed to LPA Brown that the CNAs and MedTechs at the facility are performing residents' blood glucose testing during the facility visit 04/18/2023. LPA Brown explained to Memory Care Director Perez that blood glucose testing must be administered by an appropriately skilled professional and CNAs and MedTechs must stop from performing blood glucose testing to residents today, 04/18/2023 and Memory Care Director Perez expressed understanding. LPA Brown indicated that deficiency will be issued as this pose immediate health, safety and personal rights risks to residents in care, An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to Memory Care Director Denise Perez.