Facility Evaluation Report

On this day, September 3, 2025, at 12:45 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the annual required inspection that was started on August 28, 2925. LPA met with Emelita Dimaguila, administrator (ADM), and informed the reason for visit.

LPA reviewed 5 staff and 5 residents' files. Medications checked, and compared with doctor's order and LIC622 Centrally Stored Medication and Destruction Records. Residents' P&I checked and compared with last recorded balance.

-from 1:00 pm to 1:45 pm, staff (S3, S4 and S5) have not completed the required 40 hours training.

-at 2:00 pm, resident (R1) does not have re-appraisal.

-at 3:00 pm, R1 has 2 acetaminophen medications - 325 mg (filled 8/25/25) and 500 mg but latest order on file dated 7/10/25 is 500 mg.

Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates may result in civil penalties.

Deficiencies and plan and proof of corrections were discussed with ADM.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.