Pre-licensing visit·April 8, 2022

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a follow-up pre-licensing visit from 03/24/2022. LPA met with Executive Director, Flavio Silva. On 03/24/2022, the facility was cited a deficiency and technical violations under facility #435202737. Due to deficiency and technical violations, the facility was not ready to be licensed until a follow-up visit was conducted to observe correction. During visit, LPA reviewed three resident's centrally stored medication logs and observed the deficiency to be corrected. LPA reviewed four personnel records and observed the technical violation to be corrected. Facility has a plan in place to complete remaining personnel records to include updated 1st Aid certification and health screening reports. LPA observed the facility's emergency non-perishable supplies to be up-to-date and technical violation to be corrected. The deficiency and technical violations issued during previous visit are observed to be corrected. No issues noted during this pre-licensing inspection. LPA observed the facility is ready to be licensed. However, this report will be submitted to the Central Application Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required. This report was reviewed with Flavio Silva and a copy of this report was provided.