Facility Evaluation Report

On 5/20/2022, Licensing Program Analysts (LPAs) Mai Thao and Talwinder Bains and Licensing Program Manager (LPM) Laura Munoz conducted an unannounced case management to follow-up on a visit that was conducted on 3/23/2022 by the Department of Developmental Services (DDS). LPAs and LPM met with Vanessa Rodrigues, Administrator and explain purpose of visit.

Prior to initiating the case management visit, LPAs and LPM completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPAs and LPM ensured they wash their hands before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 and surgical mask. In addition, Staff screened LPA and LPM prior to entering the facility.

On 3/23/2022, through record review, it was observed by DDS that Client 1 (C1) and Client 2 (C2) medical conditions were not consistently stable. It was observed through record review that C1 was sent to the Emergency Room 7 times and 1 time to Urgent care from 1/18/2022 to 3/18/2022. It was also observed that C2 was sent to the Emergency Room 4 times from 2/19/2022 to 2/20/2022. During the review, it was observed that the medical services for clients in care were either not scheduled or provided and/or documented within the clinical chart.

DDS observed in C1 and C2 Restricted Health (RH) Care Plan that the plan did not address all restricted health care conditions. Both C1 and C2 RH Plan did not indicate whether both clients have the ability to perform the procedures for their own RH conditions.