Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management visit and met with Jacqueline Galasso , LVN Nurse; Administrator, Mary Clein Galang arrived later. The purpose of the case management visit was to follow up on a self-incident report dated 5/1/25.

Per incident report, On 05/01/2025 at 12PM participant (P1) was eating their lunch at a table in the main room of Day Program and began to choke. Staff were present at the table and immediately notified nurse. Staff immediately notified nurse of choking episode. Nurse assessed P1 and noticed that they were unable to breathe or speak. Activity coordinator immediately performed Abdominal Thrust, but item was not coming dislodged. P1 began to appear cyanotic, and nurse contacted 911 while Activity coordinator continued Abdominal Thrust. After approximately two minutes a large piece of sandwich was able to be dislodged, and P1 was able to breathe and speak. Paramedics arrived at approximately 12:05PM. Nurse gave report to paramedics. At this point, P1 was not cyanotic, was breathing normally and conversing with staff and paramedics at baseline. Paramedics determined P1 did not need to be transported to the hospital. Responsible parties were notified of incident.

During today's visit, LPA was able to observe P1's lunch, which it is been served as described in the report. No further incidents have been reported. The facility has implemented as a preventive plan that P1's food will be cut into small pieces to facilitate easier swallowing. Staff will check food prior to P1 eating to ensure the food is cut into an appropriate size. Staff members will continue to be present at the tables at all times during meals and will remind P1 to take small or slow bite s. Also, LPA discussed with Administrator about the possibility of updating P1's care plan if needed.

No deficiencies cited during today's inspection. Exit interview conducted with Administrator and a copy of this report was given.