Follow-up·January 29, 2024

Unannounced case management visit made out to this facility on 01/29/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Jose Ventura, who was briefly interviewed. It was learned that there were residents under the care of hospice at this time while other residents were receiving services through home health as well. This facility does have a hospice waiver approved for (5) residents and program on file for dementia care unto the residents at any given time. Current census was 43 residents, of which, 27 were in the Assisted Living building (Building A). The other 16 residents, of which (8) were living in Building B and another (8) in Building C were considered as Memory Care. The purpose of this case management visit was to discuss the recent submission of Special Incident Reports (SIR) into CCL that were reviewed by this LPA. This discussion was held with the facility designated Administrator Jose Ventura at this time. It was learned that policies and procedures were put into place to address the issues from the SIRs. It was learned that certain staff were re-trained while other staff were subject to disciplinarian action after an investigation was completed. Exit Interview