Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection regarding (2) incident reports submitted to the Department. LPA met with Janeyn Kelly, Administrator,and explained the purpose of the inspection. Also present were staff, Jhamil Espino, Jacob Espino and Flocerfida Manalac. LPA observed (4) residents present and (1) resident return from receiving medical care outside of the facility.

LPA and administrator discussed resident (R1) who had an unwitnessed fall on February 11, 2026 (10:00 am) in their room. The administrator stated (R1) was observed to be kneeling by their bed and was possibly trying to stand up before falling. (R1's) family member, who was present, indicated (R1) was just moved to another room, and the furniture has a different configuration, which may have confused (R1). LPA observed (R1) preparing to go to a follow up medical appointment to have (6) staples (observed) removed. The administrator stated that lights are continuously kept on in (R1's) room, and there have been no subsequent falls. Staff are providing frequent checks for any assistance needed and (R1) is more cooperative in allowing staff to help with personal hygiene than when moving in a few months ago.

Resident (R2) went to the Emergency Room on February 13, 2026, after the Administrator noticed (R2) to be showing chest congestion/cough. (R2) was admitted with a diagnosis of Pneumonia and given IV antibiotics. An antibiotic was prescribed effective February 18, 2026 and to be given for (3) days, and (R2) has less of a cough now. Hospital discharge paperwork show there is a follow up video appointment on February 19, 2026 with the primary care physician and Home Health has been ordered for Physical Therapy and Nursing. LPA observed (R2) to be resting in their bed and stated they are doing better since returning from the hospital.

LPA and the Administrator toured the facility and observed the facility to be clean, safe, and in good repair. There are no citations issued in this report. Exit interview. Copy of report provided.