Facility Evaluation Report

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced visit to Gentle Senior Care. The purpose of today's visit was to conduct a Required 1 Year inspection. LPA Velazquez was allowed entry into the facility and met with Caregiver (CG) Surajudeen Sadiq. Administrator (AD) Pricilla Mirabueno arrived later to assist with the visit. The facility is licensed for 6 non-ambulatory residents. The facility has a Hospice waiver for 3 residents. There are currently 5 residents living in the facility with 2 currently receiving hospice services. The last emergency disaster drill was conducted on February 15, 2022. LPA Velazquez observed the Complaint poster was not the correct size pursuant to regulation and advised AD Mirabueno to obtain the Complaint poster in the correct size.

At 10:50 AM LPA Velazquez conducted a tour of the physical plant along with CG Sadiq. The 1 story home consists of 5 resident bedrooms with 3 bathrooms. The facility also has a living room, family room with dining area, and kitchen. The 5 residents in the facility appeared well-groomed and well cared-for. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. LPA Velazquez observed bed rails in the resident bedrooms. One resident had 2 half bed rails on each side of the bed essentially creating a full bed rail. Per CG Sadiq the resident is not receiving hospice services. CG Sadiq was not sure if there were written physician orders for the bed rails present in the resident files. During the tour of the physical plant LPA observed one resident bedroom did not have an auditory alarm present on the exit door which CG Sadiq verified. CG Sadiq informed LPA Velazquez that 3 residents in care have Dementia. Resident bathrooms were checked. Resident bath towels and personal hygiene supplies were adequately stocked. Water faucets worked properly, grab bars were secure, showers were free of mold/mildew and a non-skid surface or mat was in place. One of the 3 toilets did not have a working toilet handle which CG Sadiq verified.