Facility Evaluation Report

On 6/18/2024 Licensing Program Analysts (LPAs) B. Miranda & S. Doucette arrived to the facility unannounced. During the visit LPAs spoke with various residents at the facility.

R1 had a black eye. When LPA asked how R1 got the black eye they stated they fell. Administrator stated R1 fell on 6/17/24, facility was informed there is still time to report.

R2 had injuries to their legs. R2 stated they crashed into the vending machine about a week and a half ago. Administrator stated the incident happened about 1-2 weeks ago.

LPA S. Doucette conducted interviews and was informed R3 was placed in the Geri Chair after eloping from the facility. Administrator was asked about the elopement and stated R3 followed their son out of the facility, and the son and had to bring R3 back to the facility. Facility had their own incident report, but the incident was not provided to the Dept. The facility's report states the resident was found at a neighbor's house. LIC602 indicated the R3 cannot leave the facility unattended. Copy of facility report was provided to LPA. Citation and civil penalty will be issued. LPA asked Administrator if they knew which exit R3 left the facility, Administrator stated they believe through the front door, the front door does not have an auditory device. LPA S. Doucette cited for no auditory device on the front door for the annual inspection.

While touring the facility LPAs observed R4 to have long and black/brown toe nails. The nails on the big toes are longer than the tip of the big toe (pictures were taken). Administrator was asked why R4's toe nails were so long, Administrator stated maybe because of their diabetic shoes. LPA asked if R4 sees a podiatrist, Administrator stated when needed. LPA showed Administrator the picture, administrator had no comment.

Citations were issued under Title 22, Division 6, & Chapter 8 on LIC809D & civil penalties were issued.

Exit interview was conducted and a copy of this report was provided to Administrator Ramona Eleco.