Facility Evaluation Report

On 01/13/2023 at 9:00 a.m., Licensing Program Analyst (LPA) Evelin Rios arrived at the facility above for a case management visit regarding Community Care Licensing (CCL) concerns of care and supervision and staff not providing adequate food to clients in care. Upon arrival LPA granted access to the facility by staff #1 (S1). There were only one (1) staff, and two (2) clients (client #1(C1) and client #2 (C2)) present at this time. LPA spoke with the Administrator Jessica Hernandez over the phone and explained the reason for the visit. Administrator stated she was on her way to another facility and if she could not make it to this facility, she would designate S2 to sign today’s report.

From 9:00 a.m. to 9:15 a.m. LPA began a physical plant tour of the facility. From 9:15 a.m. to 9:42 a.m. LPA conducted interviews with two (2) out of four (4) clients, staff at the facility and administrator over the phone. LPA requested physician’s reports for two (2) out of the four (4) clients in care. Administrator stated facility had requested from C1 they have a medical assessment and documents with them before arrival to the facility. According to administrator when they picked up C1 they did not have the documents with them and they have asked C1 repeatedly to get it done. At approximately 10:00 a.m. staff #2 (S2) and another client #3 (C3) arrived at the facility to relieve S1. C3 left shortly after for work. From 9:42 a.m. to 10:00 a.m. LPA completed a physical plant tour of the facility. LPA observed food designated for one client’s special dietary needs labeled with client’s name. LPA observed a weekly menu schedule from 01/9/2023 to 01/15/2023 on the fridge the lunch menu stated on 01/14/23 lunch will be a snack tray of assorted vegetables meant for three (3) out of the four (4) clients to share. LPA asked S2 if this is all they have for lunch that day. S2 stated they may have some chips with it. From 10:00 to 10:45 a.m. LPA reviewed facility records and client files. The Administrator arrived at 2:00 p.m. LPA reviewed requested physician's reports and LPA did not accept two (2) out of two (2) physician's reports due to missing information.

Deficiencies cited refer to LIC 809D. Exit interview conducted, appeal rights provided and a copy of this report provided.