Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting a case management to follow up on three self-incident report filed by the facility to CCL and met with facility Licensee, Angelita Aquino and Administrative Assistant Charito Santos.

On 5/24/24 the Department received the first incident report indicating that on 5/21/24 around 5:45 pm resident (R1) approached staff to inform them that they were depressed and had a suicidal thought. Staff called 911 immediately to transport them to the Hospital. Also, the facility notified the responsible parties. R1 was admitted to the hospital for further evaluation and discharged same day with a diagnosed of diabetes with high blood sugar and suicidal thought. R1's case worker came next day to discuss a plan to sign-up R1 into a wellness center or Interlink at least three times per week and case worker agreed to drive R1 to the places. The second incident report, notifies the department that on 5/28/24 around 5:35pm staff observed R1 was anxious and crying, so staff decided to call 911 to transport R1 to the hospital for further evaluation. Responsible parties were notified. During today's visit, LPA was told by Administrative Assistant that the facility had to issue a 30 day eviction letter to R1 dated June 1, 2024 and their responsible party due to behavior and violation of house rules by returning to the facility on 5/21/24 and 5/28/24 dates under the influence of alcohol and/or illegal drugs. R1's records were reviewed by LPA including their care plan, Physician's Report (LIC602) and discharge documents dated 5/21/24 and 5/28/24 with no follow up appointment needed with their Physician.