Facility Evaluation Report

On this day, July 22, 2026, Licensing Program Analyst (LPA) Delmundo conducted a health and safety inspection as a result of the Department receiving a Priority 1 complaint (Complaint Control # 15-AS-20260721112430). LPA met with Executive Director (ED) Jeff Sumabat and informed the reason for visit. LPA also met with Sr. Generations Program Director (GPD) Joy Quilet.

During review of residents' (R1 and R2) records, LPA observed After Visit Summaries and Physician Communications indicating these residents have fall incidents. R1 had 5 fall incidents from 6/04/26 to 7/20/26, of which 4 of these incidents had passed 7 days and facility did not submit nor LPA received incident reports. R2 had multiple fall incidents from 5/10/26 to 7/17/26, of which 7 had also passed 7 days and facility also did not submit incident reports. LPA also observed these residents Care Plans not updated nor reassessment completed to reflect current care needs. Staff (S1) confirmed no incident reports submitted and that Care Plan not updated.

LPA toured the Memory Care Unit with Joy Quilet. LPA inspected the following including but not limited to common areas, courtyard, dining and activity areas, servery/kitchenette, toilets and ensuite bathrooms. LPA observed the laundry room locked and medication room attended by a med-tech. LPA randomly selected 7 residents' apartments for inspection including the ensuite bathrooms.