Facility Evaluation Report

At 9:50 AM Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the Administrator, Elena Angustia and explained the reason for the visit. At 10:20 AM, physical tour was conducted with the Administrator and LPA observed the following:

Kitchen: At approximately, 10:21 AM LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. LPA observed a scissor in one of the drawers in the kitchen accessible to residents in care. LPA also observed roaches crawling on the kitchen food, utensils, walls, and inside the fridge. LPA also observed a think pile of grease/dust in the kitchen. A spray of Ant & Roach (Raid Brand) was also observed and accessible to residents in care. Other knives were observed locked. All trash cans were observed without a tight-fitting lids.

Medications: At approximately, 10:22 AM LPA observed medications are centrally stored and locked in a kitchen cabinet. LPA observed over the counter medication for severe congestion & cough in Bedroom # five (5), and two full bottles of Lactulose 10 Gram in Bedroom # two (2) accessible to residents in care. Additionally, review of R1's random medication revealed that the facility has a full completely sealed bottle of Atorvastatin 10MG to prevent heart attack, or stroke which was filled on 10/30/2023, with 100 tablets. A second empty bottle of Atorvastatin 10MG with one hundred (100) tablets, date filled on 02/20/2024, was observed empty. LPA did not observe any new bottle or any discontinuation notes on the Centrally Stored Medication and Destruction Record (LIC 622). LPA asked the Administrator and the staff for explaining and both staff could not provide any answers. A deficiency will be cited.