Facility Evaluation Report

On this day, May 17, 2024, Licensing Program Analyst (LPA) Delmundo conducted unannounced visit to continue the annual inspection that was started on May 1, 2024. LPA met with Roselyn Chand, acting administrator, and informed the reason for visit.

LPA reviewed 5 staff and 5 residents files and interviewed 1 staff. Medications were checked and compared with doctor's order of medications and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents' cash resources.

-at 12:10 pm, staff (S1) has n o 4 hours required training on file on postural support/restricted health conditions/hospice care.

-at 12:30 pm, S3 is CPR/AED certified but no First Aid certificate on file.

-at 1:40 pm, S4 is CPR/AED certified but no First Aid certificate on file.

-at 1:25 pm, resident's (R2) LIC602A indicated non-ambulatory, and R2 needs cane to move around and about but the facility is not licensed and not fire cleared for non-ambulatory

-at 3:00 pm, resident (R5)'s doctor's order 1/16/24 for 1 of medications is 50 mg, 2x daily but the label on the medication filled on 4/18/24 showed 1 tablet daily.