Facility Evaluation Report

On 07/23/2026 at 2:10 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Interim General Manager, Renato Aleisani, and Health Services Director, Leslie Ibo. Health Services Director, Leslie Ibo, self-reported the incident on 06/25/2026.

LPA received a self-reported incident report from facility that indicated on 06/21/2026, Resident 1 (R1) and Resident 2 (R2) were observed in bed together by a care staff during routine rounds in the morning. Incident report stated that the facility reviewed the Augi footage and it showed R1 entering R2's room. R1 removed R1's clothing, leaving the R1's brief on, and got into bed with R2. When staff observed the incident, both residents were separated and R1 was placed with a 1:1 private caregiver. Incident report stated that the incident was reported to the appropriate parties.

During the visit, S1 stated that R1 is still currently receiving 1:1 private caregiver until hospice services or medication change has been initiated by family and/or physician. LPA attempted to interview R1 and R2, however, they were not available for interview. LPA attempted to review Augi footage, but S1 stated that the footages can only be reviewed if the date is 30 days prior the current date. LPA reviewed the following documents including but not limited to Physician's Report, communication log with family and doctor's, service plan, progress notes, private caregiver invoices, Medication Order, and Physician Fax Reports.

No deficiencies cited during visit. Exit interview was conducted and a copy of this report was provided.