Routine inspection·April 27, 2023

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with, care staff, Christina Manzon. Administrator, Magdalena Casuga and Aileen Bryant were called and arrived later. This facility is licensed for a total of 5 in which 4 of the residents may be non ambulatory. Facility does not have approval for bedridden, or Hospice. There are currently 4 residents living in the home. LPA toured facility and grounds and observed facility was found to be clean at a comfortable temperature. Facility has at least two days of perishable and one week of non-perishable foods. Fire Extinguisher was found to be charged, and serviced 2/28/2023. LPA reviewed all resident files, and some staff files. Staff S1 was fingerprint cleared but facility noted the wrong facility number and S1 was associated to a sister facility. S1 works at both Nena & Rays Guest Home #1 and #2 that are combined in this duplex type home and was not associated to either facility. Staff S2, S3 did not have a medical assessment and proof of negative TB when they were hired, records are missing or conducted longer than a year before getting hired and will require proper assessments. Staff training was documented but lacked information from a qualified vendor, certificates or proof of training material. LPA went over resident R1 who was observed with bandages on their head and facility explained R1 fell while outside in the yard. R1 is a resident from Nena & Rays Guest Home #3. R1 does not have an Admission Agreement for this facility. R1 is sleeping in bedroom #1 of this facility. LPA requested Home Health Records and an update for R1. Incident occurred on 4/20/2023 and resident was sent to Emergency Department and discharged with a head bandage for a laceration. LPA will continue inspection at a later date, review medication and issue any citations that are warranted. No Citations issued during this visit.