Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
Jun 13, 2025
Visit Reason
The inspection was an unannounced Required 1 Year visit to evaluate compliance with licensing regulations for Amber House, a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was generally found to be in compliance with regulations including staffing, safety, emergency preparedness, and resident care documentation. However, a deficiency was cited for failure to update facility drawings to include a staff residential unit in the backyard, which poses a potential health and safety risk.
Deficiencies (1)
| Description |
|---|
| Facility drawings do not show a staff residential unit in the backyard, posing a potential health, safety, or personal rights risk to persons in care. |
Report Facts
Residents in care: 6
Staff on-site: 3
Fire extinguisher service date: Apr 18, 2025
Plan of Correction due date: Jul 11, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Guadalupe Rivera | Administrator | Met during inspection and named in report |
| Andrew Cunha | Co-administrator | Working with residents during inspection |
| Robert Frank | Licensing Program Analyst | Conducted the inspection |
| Victoria Bertozzi | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Oct 17, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-05-29 regarding resident care, safety, notification of responsible parties, staff training, and personal rights at Amber House.
Findings
The investigation reviewed documents, conducted interviews, and made observations related to the allegations. All allegations including unmet resident needs, safety concerns, failure to notify responsible parties, lack of staff training, and personal rights violations were found to be unsubstantiated. No deficiencies were cited during the visit.
Complaint Details
The complaint investigation addressed multiple allegations: resident needs not being met, facility not ensuring resident safety, failure to notify responsible parties of changes or medical care, failure to meet mandatory reporting requirements due to lack of staff training, and personal rights violations. After review, all allegations were determined to be unsubstantiated due to insufficient evidence.
Report Facts
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Julie Florio | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Bethany Moellers | Licensing Program Manager | Oversaw the complaint investigation |
| Andrew Cunha | Caregiver/Designated Responsible Party | Met with Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Jul 3, 2024
Visit Reason
The visit was an unannounced annual case management continuation inspection to evaluate compliance with licensing requirements for dementia care and programming.
Findings
No deficiencies were cited during the visit. Medications were centrally stored and secure, and interviews were conducted with staff and the designated representative.
Report Facts
Staff on-site: 2
Residents with hospice waiver: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Cunha | Staff Member | Met with Licensing Program Analyst during inspection |
| Guadalupe Rivera | Designated Representative | Met with Licensing Program Analyst during inspection |
| Caitlynn Felias | Licensing Program Analyst | Conducted the inspection visit |
| Victoria Bertozzi | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 2
Jun 6, 2024
Visit Reason
The inspection was an unannounced 1-Year Required Visit to evaluate compliance with licensing regulations for the Amber House facility.
Findings
The facility was generally found to be clean, with proper staffing and background checks. However, deficiencies were cited for hot water temperatures exceeding regulatory limits and one resident lacking an updated annual physician's report for dementia care. The annual inspection was not completed and a continuation visit is planned.
Severity Breakdown
Type A: 1
Type B: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Hot water temperatures for all sinks were found to be out of compliance, measuring between 126.6F and 131.9F, exceeding the allowed maximum of 120F. | Type A |
| One of five residents with dementia did not have an updated annual physician's report as required. | Type B |
Report Facts
Residents in care: 5
Total capacity: 6
Hot water temperatures: 126.6
Hot water temperatures: 129.7
Hot water temperatures: 129
Hot water temperatures: 131.3
Hot water temperatures: 130.6
Hot water temperatures: 131.9
Deficiencies cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caitlynn Felias | Licensing Program Analyst | Conducted the inspection and signed the report |
| Victoria Bertozzi | Licensing Program Manager | Supervised the inspection |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
May 8, 2023
Visit Reason
The inspection was an unannounced Annual Required inspection conducted by the Licensing Program Analyst to evaluate compliance with regulations.
Findings
The facility was found to be in compliance with regulations, including proper temperature, safe storage of medications and cleaning supplies, and operational safety equipment. No deficiencies were cited during this inspection.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Teresita M Astudillo | Administrator | Administrator certificate mentioned with expiration date |
| Victoria Bertozzi | Licensing Program Analyst | Conducted the inspection |
| Christine Woltering | Licensee | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Jun 10, 2022
Visit Reason
The inspection was an unannounced Annual Required inspection focused on infection control procedures and practices at the facility.
Findings
The facility was found to be compliant with infection control practices, including vaccination verification, PPE training, and maintaining adequate supplies. No deficiencies were cited during this inspection.
Report Facts
PPE supply duration: 30
Medication supply duration: 30
Fire extinguisher last serviced: 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Astudillo | Administrator | Met with Licensing Program Analyst during inspection and discussed facility operations. |
| Victoria Willis | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
| Hope DeBenedetti | Licensing Program Manager | Named in the report as Licensing Program Manager. |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
Jun 30, 2021
Visit Reason
The inspection was an unannounced Annual Required inspection focused on infection control procedures and practices at the facility.
Findings
The facility demonstrated compliance with infection control protocols including temperature checks, PPE training, and maintaining a 30-day supply of PPE and medication. No deficiencies were cited during this inspection.
Report Facts
Vaccination rate: 100
PPE supply duration: 30
Medication supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Teresa Astudillo | Administrator | Met with Licensing Program Analyst during inspection and discussed infection control and facility policies |
| Victoria Willis | Licensing Program Analyst | Conducted the annual required inspection |
| Hope DeBenedetti | Licensing Program Manager | Named in report header and footer |
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