Facility Evaluation Report

On 8/1/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a case management in relation to an incident report received on 7/31/24. LPA Jensen met with Angelica Chicas and explained the purpose of today's visit. Angelica Chicas called Licensee Bonaire Yepez and LPA Jensen spoke to the Licensee by telephone and explained the purpose of today's visit. The facility has a hospice waiver for 6.

An incident report was received regarding a resident in care that is on hospice. The facility notified the Department that the responsible party for resident 1 (R1) requested R1 be taken off of hospice in order to be sent to the hospital and would not be returning. LPA Jensen interviewed R1's daughter, R1's son in law and R1's close friend who all stated that R1 is being moved due to concerns at the facility surrounding sanitation and neglect. LPA Jensen inspected the facility and observed cockroaches, spiders and other unidentified insects. LPA Jensen reviewed R1's file and observed R1 was lacking a pre-placement appraisal and resident appraisal or needs and service plan. LPA Jensen reviewed the hospice care plan and observed that the care plan lacked a description of the area of licensee’s responsibility for implementing the plan including, but not limited to, facility staff duties. LPA Jensen also observed various care notes from the month of July 2024 that were signed by 2 staff members not associated to the facility. It should be noted that the licensee was provided technical assistance by email on personnel requirements, criminal background clearance and transfers on July 19, 2024.

LPA Jensen interviewed Staff 1 (S1) who advised that Staff 2 (S2) is in charge and now running the facility. LPA Jensen verified that S2 is not yet associated to the facility. LPA Jensen interviewed S2 who confirmed that she and the licensee have entered in to an agreement for a change in ownership at the beginning of July 2024. On July 19th, 2024, LPA Jensen provided technical assistance to the Licensee informing her that the Department and all residents must receive notification of any intent to sell or transfer ownership of the business. No notification was sent to date.