Facility Evaluation Report

While at the facility for other reason, Licensing Program Analyst (LPA) Delmundo conducted proof of correction (POC) visit. LPA met with Mary 'Rose' Malekamu Mataele, administrator (ADM), and informed the purpose of visit.

On 8/27/25, LPA issued a citation, deficiency section # 87355(e)(2), under case management visit with due date to submit POC by 8/28/25. On 9/02/25, LPA reminded ADM that the POC was overdue. Again, on 9/08/25, LPA reminded ADM that the POC is long overdue.

A civil penalty is assessed on this day for failure to submit the POC.

Civil penalty = $100.00/day x 13 days (8/29/25 to 9/10/25) = $1,300.00

The civil penalty was discussed with the ADM.

Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty Assessment, and copy of this report provided.