Follow-up·October 22, 2024

Licensing Program Analysts (LPAs) Maria (Mita) Partoza and Marcella Tarin conducted an unannounced case management inspection of the facility for compliance. LPAs met with licensee/administrator Bernelette Taa and stated the purpose of the visit. This inspection visit was to ensure that the facility is in compliance with Title 22. LPA reviewed with the licensee/administrator regarding the recommendations discussed during NCC. LPA conducted a random review of resident and staff files, and toured the facility inside and outside. LIC/ADM stated that 3 staff have completed the 15 hour Course for Provider Mental Illness Education through National Alliance for Mental Illness (NAMI), 3 staff are enrolled to attend class and pending confirmation. Door alarms were observed at the front door. Orders for additional door alarms were placed and expected to be delivered on 10/31/2024 to be placed on exit doors. LPAs reviewed the LIC 500 and facility has sufficient coverage for the number of residents in the facility. LPAs reviewed residents file and found them to be current updated. No deficiencies were cited during today's inspection and an exit interview was conducted with the licensee/ administrator Bernelett Taa. A copy of the report was provided.