Follow-up on corrections·February 16, 2022

On 02/16/2022, Licensing Program Analyst (LPA) Misty Valencia conducted an unannounced Case Management Health and Safety visit as directed by the department. LPA met with Audra Eneix, Administrator and explained the reason for the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical masks. Additionally, LPA was screened by staff at the front door LPA toured the facility inside and out including but not limited to seven bedrooms, three bathrooms, dining areas, outside areas, and kitchen area. LPA observed that there was sufficient food in the facility and facility has had some renovations done. The following renovations has been completed included; Bathroom remodeled, bathroom added to back bedroom, added counters, cabinets in the kitchen area, new flooring and painting throughout facility, a wall that has been removed, a wall that was put up between livingroom and a bedroom. . LPA asked Administrator if there was a permit application on the changes to the facility. Administrator reports thare was and she has documentation to LPA. LPA asked about residents in care and where have they been throughout the remodeling process. Admin reports that three of four residents are new and one is from their other facility. continue on 809-C LPA requested to see documentation that residents and families have been notified of the movement. Administrator reported that they never provided any documentation regarding the moves and that they have been in contact with all residents and their families verbally. LPA explained to Administrator that LPA will be citing facility regarding, reporting requirements, no fire clearance on renovations, and illegal evictions. Administrator understood and reported that she will contact LPA with any changes to the facility from here on out. Deficiencies are cited on LIC 809D. Exit interview conducted and a copy of report along with appeal rights were given