Facility Evaluation Report

This case management visit is conducted in conjunction with Complaint # 31-AS-20250829141015 investigation to address the issues unrelated to the complaint.

During complaint investigation, LPM Margaryan and LPA Alvizar-Ettima noted that facility may have insufficient staffing at the assisted living unit.

LPM Margaryan also discussed reporting requirements and Executive Director (ED) was informed that there were at least 2 incidents pertaining to the former facility resident #1 (R1) that was not reported to the Licensing Department.

In addition, ED was notified that during investigation LPA and LPM noted that while elevator was out, some of the residents were not accommodated for meal service. Other points of concern, including possible staffing shortage, also were discussed with ED.

Therefore, at the time of this visit the citations were issued and recorded on LIC809D.

Exit interview was conducted, appeal rights were discussed, and a copy of report was issued.