Facility Evaluation Report

On 03/19/2025 at 2:30 PM, Licensing Program Analysts (LPAs) K. Nguyen and P.Manalo conducted an unannounced Case Management Visit related to the previous complaint 15-AS-20241204123458. LPAs met with Vilarmina Paje-Forsythe, Wellness Manager, and explained the purpose of the visit. Executive Director was unavailable during the visit and gave authorization on the phone for staff to sign the report.

LPAs reviewed Resident 1’s (R1) record shows facility did not have proper documentation of the resident’s care plan. Care Plan did not indicate what services was needed for the residents to have 1:1 care. Plan of correction is for the facility to review all resident’s care plan and physician’s report to indicate what services the residents do or do not need.

No deficiency cited during the visit. Exit interview conducted and a copy of this report provided.