Facility Evaluation Report

On 5/17/2024 Licensing Program Analyst (LPA) M. Garza arrived at the facility for an unannounced annual continuation visit. LPA was met by Direct Care Staff, Jonathan Escalera, explained reason for visit and was permitted entry into the facility. Administrator was contacted and stated they were unavailable and it was okay to conduct visit with Staff, Jonathan.

LPA completed a health and safety check on residents in care. During time of visit residents were at day program. LPA reviewed sample files:

LPA reviewed Resident 1's file: LPA observed the preplacement appraisal, needs & services plan and IPP, signed physician’s report, signed admission agreement, Identification/Emergency information, restricted health care plan, and records of residents safeguarded log.

LPA reviewed Resident #2's (R2) file: LPA observed preplacement appraisal, needs & services plan and IPP, signed physician’s report, signed admission agreement, Identification/Emergency information, restricted health care plan, and records of residents safeguarded log.

Staff files were inaccessible by Direct Care Staff and not reviewed.

Exit interview completed with Direct Care Staff, Jonathan. A copy of this report was provided.