Facility Evaluation Report

On 9/13/25 Licensing Program Analysts (LPAs) M. Garza and L. Salazar arrived at the facility for an unannounced case management visit. LPA met with Care Giver, Gladys Quiniones. Administrator, Rodrigo Arrieta was contacted and arrived some time later. LPAs toured the facility inside and out. A health and safety check on residents was completed. 3 residents present during time of visit.

This case management visit is being conducted for deficiencies found during a complaint/annual visit conducted on todays date. During visit interviews with staff and Administrator disclosed that R1 was bedridden and required assistance getting in and out of bed. Records reviewed indicated R1 needed "total assistance with all ADLs". Records reviewed during visit also indicated R2 was admitted to the facility 7/25/25 from a Skilled Nursing Facility (SNF). R2 was admitted with a diagnosis of "fractured pelvis". LPAs observations of resident indicates R2 is bedridden and needs to be lifted in order to transfered. Deficiency cited on attached 809D per Title 22 for fire clearance violation. An immediate civil penalty in the amount of $500 is being assessed. If not corrected, the deficiency has an immediate and direct impact on residents in care.

Exit interview conducted with Caregiver, Antonia Duadico. A plan of correction was developed by Antonia and reviewed with LPAs. A copy of this report, deficiency, civil penalty and appeal rights provided.