Facility Evaluation Report

On 10/30/24 Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility unannounced to conduct a case management visit. LPAs met with caregiver Leriza Arambulo and explained the purpose today's visit. Administrator Baby Ofelia Quintero was present at the facility for the first half of visit but had to leave and requested for caregiver to finish visit.

At the time of LPAs visit, one resident was out of the facility at the doctors. LPAs conducted a file review of two (2) resident files. Both resident files are complete with required paperwork. LPAs observed R1 to be taking two (2) PRN medications that are not listed on their medication list.

LPAs observed the facility to have a door stopper propping open the fire door in the hallway. LPAs also observed a fire extinguisher in the entry way of the facility that was last serviced on 01/25/23. LPAs also observed a fire extinguisher located in the residents hallway that was last serviced on 6/24/20.

PRN medications that are not listed on Resident medication list is a repeated violation as the following deficiencies was cited during an annual inspection on 01/10/24.

Deficiencies cited, civil penalties assessed.

Exit interview and a copy of the report and appeal rights left at the facility.