Aging Eternity Retirement Home 2

Allegation investigated: Staff did not administer medication to a resident in care.

On 3/23/2026, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to initiate and deliver findings for the alleged allegation. LPA identified herself to Precy Panlaqui- Support Staff who was informed of the purpose of the visit and allowed LPA entry into the facility. Natalya Trakhtenberg-Administrator arrived around 2:45PM. The investigation consisted of the following At 2:56 PM, LPA Allen requested the following documents: Admission Agreement, Needs/Service plan, ID/Emergency Information and medication list for Resident 1 (R1) During the visit LPA also reviewed the medication list for residents 1-5 (R1-R5), conducted interviews with staff members 1-3 (S1-S3) and conducted interviews with residents 1-5 (R1-R5). The investigation revealed the following: Allegation 1: Staff did not administer medication to a resident in care. Unsubstantiated LPA conducted interviews with resident 1-5 (S1-S5) and 5 out of 5 residents stated that their medications are given to them daily. LPA also conducted interviews with staff members 1-3 (S1-S3) and 3 of 3 stated that residents are given their medications as prescribed by their physicians. LPA also observed the medications and list for R1-R5 and it appears that the residents are receiving their medications as prescribed by their physicians. LPA also toured the facility and did not observe any health or safety concerns Based on interviews, file review and observation during the investigation, the above allegation are found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed and provided to Natalya Trakhtenberg Administrator at the conclusion of the visit with appeal rightsthe state’s words, verbatim · CDSS document, Mar 23, 2026 · control 11-AS-20260318145831

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct an annual inspection. LPA was greeted by Natalya Trakhtenberg Administrator who was informed of the purpose of the visit and allowed LPA into the facility. The facility is licensed to serve age range 60 and over, approved for (6) non-ambulatory, of which (6) may be bedridden and approved hospice waiver for 4. The facility has 8 bedrooms, 7 bathrooms, living, dining room, and kitchen. During the visit there were two (2) staff members and four (4) residents presents. At 12:36 PM, LPA and Natalya toured the physical plant. There were no bodies of water or obstructions on the premises inside or outside. LPA inspected a total of eight (8) bedrooms and seven (7) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. At 1:15 PM LPA reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings which appeared to be up to date. LPA also reviewed four (4) clients’ files for admission agreements, updated physician reports, and needs and services plan which appeared to be up to date. A random audit was done conducted and it appeared that residents are getting their medications as prescribed by their physicians. The bathrooms appeared to be in good condition and operational. The water temperature ranged from 105°F to 110. °F, and the facilities temperatures ranged from 72°F to 75°F. Continued LPA observed that the facility appeared to be clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored inaccessible to residents in care. The kitchen was inspected, and there was a 5-day supply of perishable and a 7day supply of non-perishable food items available, which was adequately maintained/stored. The fire extinguishers, carbon monoxide detectors and smoke detectors were fully charged and operable. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed, signed and provided to Gemma Rivera per Natalya Trakhtenberg approval at the conclusion of the visit.the state’s words, verbatim · CDSS document, Aug 13, 2025

Type of visit: Required - 1 Year

On 7/26/2024 at 8:00 am Licensing Program Analyst (LPA) David España conducted an unannounced annual required using the CARE Inspection Tool. LPA met with Natalya Trakhtenberg, Administrator. LPA explained the purpose of today’s visit. The facility is licensed for the age range 60 and over, approved for (6) non-ambulatory, of which (6) may be bedridden, approved hospice waiver for (3). At the time of visit the facility there were 6 residents. There is 3 hospice residents at the time of visit. Facility has 6 resident bedrooms, 7 bathrooms, a front den/sitting area, attached garage, dining room, living room, back shaded patio. LPA inspected the resident’s bedrooms are spacious and easily accommodate their furnishings. LPA inspected the back yard with a patio area and chairs. Shaded area has sufficient tables and chairs for clients and staff. LPA toured the physical plant with administrator. There were no bodies of water or obstructions on the premises. A total of 8 rooms were inspected. A total of 7 bathrooms were inspected. LPA inspected beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. LPA inspected bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #1-#6 and smoke and carbon monoxide combo are all operable conditions. The water temperature properly measured between 105°-120°F. Evaluation Report Continues LIC 809-C LPA inspected bath towels and wash cloths where observed stored in the hallway cupboard. Facility provides hygiene supplies to clients and LPA observed adequate supplies. LPA inspected the telephone, which is a land line, was called by LPA and is operational. Emergency Disaster Plan and "See something, Say something, Let Us Know" posted & readily available for review on the wall throughout the facility. Several fully charged fire extinguisher were found throughout the facility. LPA inspected dishes, cups and flatware are stored in the kitchen cupboards, inspected and in good repair. Knives, cutlery and other sharp kitchen utensils are stored in a locked drawer in kitchen. Food supply was adequately stored in kitchen refrigerator, cabinets and consists of the following: a variety of fresh and canned fruit, vegetables and meats all dated. LPA inspected dual smoke and carbon monoxide detectors are hardwired and interconnected. All were operational. LPA inspected stove burners, oven, microwave, washer, and dryer are in working order. There is 1 refrigerator in the kitchen. Refrigerator and freezer are at the correct temperature for food storage. LPA inspected area for medication storage is in a locked glass cabinet in living room. First aid kit was inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze. First aid and medications are available for staff use but inaccessible to clients. LPA inspected records of staff and residents are stored in a locked closet on-site. LPA inspected the facility has books, and other recreational materials for the residents. LPA did not observe any pet or bodies of water at the facility. LPA inspected fire Clearance was approved on 04/19/2021 for 6 bedridden seniors. Evaluation Report Continues LIC 809-C LPA did not observe pad locks or other mechanisms which may be obstructions for safe and quick egress during an emergency on front and back exits. LPA observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, and sharps objects were stored and not accessible to residents. LPA inspected the kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. LPA inspected a review of (3) residents' service files, (3) staff personnel files and (3) Medication Administration Records (MAR) were maintained in order. LPA inspected first aid kit was checked. Due to insufficient information available at this time, the above allegations need further investigation. Exit interview conducted. A copy of the report was given to Precy Panlaqui, Caregiver.the state’s words, verbatim · CDSS document, Jul 26, 2024