Facility Evaluation Report

Licensing Program Analyst (LPA) Angelica Arambulo conducted a case management visit in conjunction with complaint # 31-AS-20211005123059. During the review of documents of the complaint it was discovered that the following documents are not updated or submitted to licensing.

reporting requirements of hospitalization's or death not submitted.

The facility is cleared for only 1 hospice resident and there are 2. Mr. Rudy Espino states he is still working on this.

Resident PRN medication was not documented and administrator does no recall what it was for.

The stored medication and destruct log has not been updated since April 2021.

Upon entry the staff does not wear a mask. Screening is just your temperature. No questions asked at entry.

Any citation which has not been issued during todays visit shall be cited on LPA next visit.

Citations issued, appeal rights given, exit interview conducted. The report shall be emailed to administrator.