Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced Case Management – Incident visit at 9:00am. The LPA met with Administrator, Cilva Toume and explained the reason for the visit. The purpose of this visit is to investigate an incident submitted to the Department by the facility regarding Resident #1 (R1) self-neglecting and not allowing staff into their room. Entrance interview.

During today’s visit, the LPA conducted a plant tour to ensure there are no immediate health and safety concerns and interviewed the Administrator, one staff, and resident between 9:15am and 10:15 am. At 10:20 am., the LPA conducted a resident file review and obtained copies of pertinent documents relevant to the investigation.

Further investigation is required prior to issuing findings.

Exit interview conducted. A copy of the report was emailed to the Administrator.