Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and met with DSP staff, Jocelyn Lemence and Maria Rosario Parochilin. LPA spoke to Administrator Designee, Lourdes de la Paz, by phone, and stated the reason for today's inspection. The Administrator Designee confirmed there are (4) clients residing at the care home, (1) was currently attending day program, and the Administrator was unable to attend today's inspection due to not feeling well. LPA and the Administrator discussed the recent incident with client (C1), as follows:

The Administrator reiterated the information emailed to LPA on 7/31/2026 (5:36 am), regarding client (C1) going to the Emergency Room last night (10:00 pm) after having an unwitnessed fall. The Administrator stated (2) staff were present when they heard a loud thud coming from (C1's) room, immediately responded and observed (C1) to be on the floor, bleeding from the top of their head. Staff immediately applied pressure to stop the bleeding, while not moving (C1) from their position, and called 9-1-1. (C1) was not able to describe to staff how they fell before going to the ER, but stated to LPA today that they were sitting on the side of their bed, facing towards the window, and then fell on the floor, hitting their head. LPA observed (C1) to be sitting upright in their bed with a bandage/s on their head. (C1) stated they are feeling good and has had no change in appetite. LPA observed (C1) to be eating lunch later during the inspection. The Administrator explained how (C1) uses a half side bed rail and sometimes reaches for items on the side table, next to their bed, "will always utilize their call button", but did not this time. (C1) was cleared for any fractures or internal bleeding, was given a prescription to apply ointment twice daily, and will follow up with their primary care physician on 8/3/2026. The facility will submit an incident report within (7) days to the Department. (C1) has not fallen before while living at the care home, and there have been no recent medication changes. It appears the facility took appropriate and timely action in seeking medical attention for (C1). There are no deficiencies issued in this report. Exit interview. Copy of report provided.