Facility Evaluation Report

At 09:35 a.m. Licensing Program Analyst (LPA) Esther Cortez, conducted an unannounced case management- deficiencies visit at the above location. LPA met with Administrator Victor Hernandez and Assistant Administrator Celesty Hernandez and explained the reason for the visit.

During the Department’s investigation of death report for Resident #1 (R1) the following deficiencies were observed:

The facility did not submit a Special Incident Report (SIR) to Community Care Licensing (CCL) to notify that Resident #1 (R1) was diagnosed at St. John’s Medical Center Hospital on 04/09/2024 with a Urinary Tract Infection (UTI).

During today's visit, at 09:40 a.m. LPA Cortez observed two chain door locks on the front door of the home. One placed on the top region of the door and the other on the bottom region of the door. The chain door locks were removed during today's visit.

Citations issued, exit interview, appeal rights given.