Facility Evaluation Report

Licensing Program Analysts (LPAs) Simi Rai and Marcela Yanez conducted a case management visit to assess resident R1 for total care exception request. LPAs met with House Manager (HM) Sheryll Granil and stated the purpose of today's visit. LPA Rai spoke with Licensee/Administrator Lolita Bautista, who was not present at the facility at the time of visit and LPA Rai stated the purpose of today's visit. Licensee/Administrator Lolita Bautisa gave verbal authorization for House Manager, Sheryll Granil to sign today's report on her behalf.

During today's visit, LPAs observed two staff, including HM and one resident (R1) present during today's visit. Five residents were attending day program and not present at the facility. LPAs interviewed two staff, HM and S1 and interview/observed resident R1. Resident R1 is dependent on staff to care and supervise R1's activity's of daily living (ADLs). However, R1 is able to communicate his/her needs by verbal communication which includes but not limited to responses of "yes", "no", "music", and "eat". R1 is able to identify and distinguish the different caregivers providing care and supervision by stating their name.

Based on interview and observation, total care exception is not needed at the time. The processing of the total care exception has ceased.

The facility staff shall continue to daily documentation of resident’s condition and care provided should be kept in her files. Any changes in resident’s condition should be reported immediately to her primary care physician, responsible party and licensing agency. Facility staff will monitor resident’s health care needs and collaborate with her primary physician regarding care. Facility staff shall ensure R1's Appraisal Needs and Services Plan is updated annually or as needed if the resident experiences significant physical or mental changes. Facility shall provide ongoing annual staff training specific to the needs of resident and shall be documented in facility records.