Facility Evaluation Report

On 4/28/2024, Licensing Program Analysts (LPA) Maria (Mita) Partoza and Simi Rai conducted an unannounced visit to the facility. LPA stated that the purpose of the visit is to continue the case management-deficiencies observed from 4/27/2024, and to deliver the deficiency citations based on observation and interview from 4/27/2024. LPAs were met by a care giver (S2) and S2 called the licensee/administrator (LIC/ADM) Constantin Lapustea and LIC/ADM arrived at the facility within 30 minutes. LIC/ADM stated he was attending church.

On 4/27/2024 LPA Partoza conducted an unannounced complaint visit to the facility and was greeted by the staff's (S1) child who is a minor (M1). LPA was able to confirm that M1 is under the age of 18. LPA arrived at 9:00 a.m. on 4/27/2024 and requested to see LIC/ADM or the designated administrator. M1 stated that the licensee/administrator (LIC/ADM) Constantin Lapustea and caregiver (S2) was out. M1 stated he/she is the child of the staff (S1) who is currently accompanying and assisting 3 residents with their walk and will be back in 15 minutes. LPA observed that M1 was alone with 2 residents for more than 15 minutes with 2 out of 2 residents that are diagnosed with dementia and are ambulatory.

During visit on 4/27/2024, LPA observed the following: 3 residents with the staff (S1) came in after their walk around the neighborhood. LPA observed that 2 out of 3 residents uses assistive device such as cane and walker. 1 out of 3 uses assistive device as needed (walker). S1 introduced self and stated that he/she is the caregiver at the facility and LIC/ADM are not in the facility during the time of visit of 4/27/2024. LPA conducted a facility inspection and observed that 5 out 6 residents were present in the facility. 1 out of 6 went out to a day program.