Emerald Care Manor

Type of visit: Required - 1 Year

On 10/10/24 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit/annual inspection. LPA greeted and granted entry by Caregivers Jocelyn and Jamie where LPA explained the purpose of today's visit. The facility has an approved hospice waiver for 2 with (0) residents currently receiving hospice services. At the time of the visit there was (3) staff and (2) residents present. Below are the observations made during today's visit: The facility was observed to have a food supply that was sufficient. The medications, sharps, chemicals and other hazardous items were observed to be locked and inaccessible to residents in care. The hot water temperature was tested and found to be within regulatory limits measuring at 105.8 degrees Fahrenheit. The smoke and carbon monoxide detectors were tested and found to be operable, the fire extinguishers were fully charged and last serviced on 01/31/24. The facility was observed to have the required postings such as CCL complaint poster, LTCO poster, and personal rights. During a tour of the exterior of the physical plant. The facility was observed to have a full tennis court, with three separate sheds on grounds that are being utilized for storage. LPA observed for there to be a bedroom inside the garage, that is being utilized by Staff #4 (S4) of the 1 of the 2 live in caregivers. The second caregiver Staff #2 (S2) reports sleeping on the couch. In addition the facility is utilizing video surveillance in the common areas hallways, dining area and exterior areas of facility. The following items are to be submitted to the department by 5pm on or before Monday 10/14/24: -Updated facility sketch to include the cameras, as well as the addition with the staff bedroom. -Addendum to plan of operation stating that video surveillance will be utilized -Consents from the residents and or their responsible party consenting and acknowledging that they have been notified that video surveillance is being utilized -Updated LIC610E-Emergency Disaster plan, last update was in August 2019 Records review: LPA conducted a file review that revealed the facility annual fees have not paid, they are due by 10/16/24. During today's visit LPA gave a reminder and provided the following PIN 373897 should theLicensee wish to pay the fees electronically. The facility was observed to have valid liability insurance. Staff files were observed to have the required training's completed such as dementia, proof of Cardio Pulmonary Resuscitation and first aid training. All staff present were observed to have obtained health screenings, criminal record clearance and to be associated to the facility. Resident files were observed to have recent medical assessments, appraisals (pre placement and needs and services appraisal), as well as admission agreements. An exit interview was conducted and a copy of this report was provided to Jamie Avellaneda, Lead Caregiver.the state’s words, verbatim · CDSS document, Oct 10, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility to conduct an annual licensing inspection. LPA was met by Jamie Alido, Caregiver, and was granted entry into the facility. LPA spoke with Administrator, James Bandoy by telephone and discussed the purpose of the visit. He authorized Caregiver Alido to conduct the tour and sign off on inspection documents. A tour of the facility was conducted inside and out. LPA, accompanied by Ms. Alido, conducted a general overall inspection, which included but was not limited to the following: Facility physical plant, food service, medication management, record review and facility administration. The facility is licensed to serve six (6) elderly residents, all of whom may be non-ambulatory. A Hospice waiver is approved for two (2) residents. The facility is a five (5) bedroom two (2) bathroom one story house. One bedroom is shared two (2) to a room and the other four (4) bedrooms are private. During today's inspection, LPA observed the following: Indoor and outdoor passageways were observed to be free from obstruction. There are no pools or bodies of water. Per Ms. Alido, there are no firearms or other dangerous weapons in the facility. Poisons and cleaning agents were observed to be secured and inaccessible to residents in care. Facility fire clearance is maintained in conformity with State Fire Marshal regulations. LPA toured every room in the facility. Resident rooms had the required furnishings and sufficient lighting available. Facility provides each resident with clean linen, in good repair, and sufficient hygiene products for personal use. The hot water temperature measured at 107.9 degrees F. The facility had a functioning carbon monoxide detector, multiple smoke detectors, and multiple operable fire extinguishers. The facility was stocked with a two-day supply of perishable food items and a seven-day supply of nonperishable food items. Staff records were reviewed and contained CPR/First Aid training, Health Screening Reports, and annual training. Resident records were reviewed and had a current Physician's Report, Resident Appraisal, Identification and Emergency Information, Admission Agreement, and Centrally Stored Medication and Destruction Records. Medications were stored in a locked cabinet. During inspection of medication, LPA observed the following deficiency: Pre-packaged medication (bubble packaged medication) for R1 and R2 were removed from bubble pack and stored in medication pill trays. LPA advised Caregiver that pre-packaged medication must remain in its original container and cannot be transferred from one container to another. Deficiency cited. This report was discussed with Caregiver Jamie Alido and a copy of this report, LIC809D and Appeal Rights, was provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 16, 2023