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25 | Licensing Program Analyst (LPA), Marisela Garcia- Ceteno conducted a Case Management visit regarding a decrease in capacity application. LPA identified herself to Caregiver, Miriam Montano and discussed the purpose of the visit with Administrator, Remedor Gumabon.
Licensee applied for a decrease in capacity from six (6) ambulatory residents to four (4) nonambulatory residents. There is an approved Fire Clearance dated 2-8-2022 for the decrease in capacity and nonambulatory status. As of today, there are four (4) residents in care. LPA toured the facility and a had a discussion with the Administrator regarding operation.
During the tour, LPA observed the physical plant and residents' accommodations including furnishings, linens and personal hygiene items; resident bathrooms are equipped with cleaning products and paper towels; toxic substances are stored in a locked cabinet in the garage and in the kitchen; medication storage and administration logs are located in a locked cabinet; sufficient space to conduct activities was present; facility posting requirements were present in a common area; the facility administrators certification was current; no pool or other body of water is present on the facility grounds; per the Administrator there are no guns, weapons or ammunition located on the property. Discussed with Administrator Gumabon, continuing operation requirements, record keeping and physical plant compliance.
No deficiencies were issued during this visit.
An exit interview was conducted with Administrator, Remedor Gumabon , and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16), were provided to the Administrator via email. An electronic read receipt confirmation was requested to be sent by Administrator, Gumabon upon receipt of the documents. |