Facility Evaluation Report

Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct case management legal/non-compliance visit. LPA was met by staff Gloriosa Mamauag. The Administrator was informed about the visit over the phone. Staff Teresita Olong was authorized by Bacani to sign the report. Soledad Bacani arrived at the facility at around 2:15 pm.

During the visit, LPA observed the following deficiencies:

auditory device in the kitchen sliding door is not functional

facility admitted Resident 1 (R1) with right leg contracture without approval from CCL; facility is in an NCC compliance plan

R1 has been sleeping in the staff room which is not approved by the Fire Department as resident room

no staff training on how to care for R1's contracted leg

R1's Appraisal Needs and Services Plan incomplete, no preplacement appraisal

Civil penalty of $500 assessed for today's visit.

Exit interview was conducted with Olong/Bacani and Appeal Rights was provided.