Facility Evaluation Report

On 11/15/2024 LPAs Dwayne Mason Jr. and Nancy Guillen arrived at the facility for the purpose of conducting a Case Management visit in order to cite for deficiencies observed on 10/14/2024. LPAs met with Florence Tolentino, Administrator and explained the purpose of the visit.

LPAs observed a partial wall installed in the living room. When asked if anyone resides behind the wall in the living room, facility staff stated that two staff members sleep there. LPAs noted the wall does not reach the ceiling. LPAs determined the staff residing behind the wall in the living room are not afforded adequate privacy due to them residing in the living room of the facility behind a partial wall.

LPAs determined the facility is not in compliance with the following regulation:

PERSONAL ACCOMMODATION AND SERVICES 87307(a) The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility.

Based on today's visit, one deficiency is being issued. LPAs reviewed the report with facility staff and provided a copy.