Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with, care staff, Christina Manzon. Administrator, Magdalena Casuga and Aileen Bryant were called and arrived later. This facility is licensed for a total of 6 in which 4 of the residents may be non ambulatory. Facility does not have approval for bedridden, or Hospice. There are currently 4 residents living in the home, of which one (R1) is out of the facility receiving rehabilitation services due to a recent hospitalization due to a hip fracture from a fall.

LPA toured facility and grounds and observed facility was found to be clean at a comfortable temperature. Facility has at least two days of perishable and one week of non-perishable foods. Fire Extinguisher was found to be charged, and serviced 2/28/2023.

LPA reviewed all resident files, and some staff files. Staff S1 was fingerprint cleared but facility accidentally noted the wrong facility number and S1 was associated to a sister facility. S1 works at both Nena & Rays Guest Home #1 and #2 that are combined in this duplex type home and was not associated to either facility. Staff S2, S3 did not have a medical clearance and proof of negative TB test when they were hired, records are missing or conducted longer than a year before getting hired and will require proper assessments. Staff training was documented but lacked information from a qualified vendor, certificates or proof of training material.

LPA will continue inspection at a later date, review medication and issue any citations that are warranted.