Facility Evaluation Report

At approximately 9:35 AM, Licensing Program Analyst (LPA) Star Stevenson conducted a subsequent case management visit to issue a citation pertaining to an incident reported to Community Care Licensing (CCL) on 2/7/2025 and met with DSP caregiver Maria Faustino who called House Manager/Administrator Raquel Cistac. At approximately 10:00 AM House manager Raquel Cistac arrived to receive the following findings.

On 03/13/2025, LPA Florio conducted a case management inspection to obtain additional information regarding a self-reported incident involving client C1. Upon further review by the Department, it was determined that the facility did not seek timely medical for C1 after change of condition was observed. Based on record review staff notes indicate that C1 had a change in condition from 1/30/2025 to 2/4/2025, such as not having bowel movements, not eating or feeling well, and not being stable on their feet. Administrator Raquel Cistac stated that C1 had a doctor’s appointment on 02/3/2025, but C1 could not walk and there was not adequate staffing to take C1 for a scheduled medical appointment. Administrator was on vacation from 1/24/2025 to 2/3/2025, staff were reporting that C1 was not eating regularly and had a cold. On 2/3/2025, Administrator returned from vacation and decided to observe C1 another day and did not take C1 to the hospital until 2/4/2025. C1 was diagnosed with acute abdominal pain from a large bowel obstruction. C1’s large bowel obstruction required surgical intervention to resolve and resulted in them having a subtotal colectomy. C1 has a history of constipation, based on C1’s medical history and observed change of condition the facility did not seek timely medical support.