Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted a case management visit on 4/25/24. LPA met with Staff, Maura Demapan and explained the purpose of the visit.

During the visit, LPA observed Resident #1 (R1) residing in the room to the right of the entrance. According to the facility sketch, the space was indicated as the dining room. The room does not have a door and the facility uses a fabric curtain to provide privacy to the resident. Staff stated R1 was moved to the area a few months ago. LPA issued a deficiency for resident residing in a common area. There are a total of 6 residents observed at the home.

An exit interview was held. The plan of correction was discussed with the administrator via telephone. A copy of this report along with appeal rights were emailed to the administrator per request.