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25 | Licensing Program Analyst (LPA), Alviso conducted a case management to continue the pre-licensing inspection, at approximately 9:00am on 7/25/24, and met with Applicant Teddy Rico. This application is a change of ownership, the facility is currently licensed as St.Michael Assisted Living 2 - #496804057; Teddy Rico is the facility's House Manager. Component III orientation has been completed with applicant Teddy Rico.
Applicant has an approved dementia plan of operation. Applicant has a hospice waiver approval for two (2) residents. Applicant has an infection control plan and emergency disaster plan. Fire clearance is approved for six (6) non-ambulatory only- effective . 10/4/23. The facility has a staff room for three live-in caregivers.
The new Administrator for the facility is Florifess C. Hunt, who is working at the facility Monday through Friday, business days and hours. Ms. Astrid Morancil is no longer the Administrator of the facility as of 6/7/2024, per current Licensee Marilyn Green. Ms. Morancil was not able to work business days and hours on-site at the facility.
Per applicant Teddy Rico, the Administrator for his license will be Florifess C. Hunt. Applicant Teddy Rico stated their understanding of the Administrator to be on-site Monday through Friday, business days and hours, to ensure the facility's plan of operation is in compliance with regulation.
Applicant will update the LIC500 personnel report, for St. Michael's In-Home Care #496804171, to show current sufficient staffing, including the new Administrator (days and hours working on-site).
Applicant will submit an updated emergency disaster plan and an updated infection control plan.
The LPA toured the facility with applicant Teddy Rico. All required corrections have been completed. Pre-Licensing is complete and this facility has no apparent health hazards and/or concerns observed during this inspection. LPA will submit a copy of the report to the application unit; The application Analyst will notify the applicant of the application status. |