Facility Evaluation Report

In conjunction to the complaint number 31-AS-20210519164840 Licensing Program Analysts (LPAs) Mariana Agban and Michael Cava conducted a case management- Deficiencies visit.

During the complaint investigation, LPAs conducted medication and Medication Records review for proper documentation for three (3) out 5 residents. LPAs could not complete an accurate medication count due to incomplete medication forms. LPAs also observed insufficient food, within for a total of 5 residents in care. On 04/11/2024 Interviews with 2 out of 5 residents revealed that there's no variety of food and that it's only based on Filipino cuisine. LPA Agban had issued Advisory Notes - Technical Assistance regarding food variety. LPA Agban had advised Administrator that meals shall consist an appropriate variety of foods. On today's visit interviews with 3 out 5 residents confirmed that staff don't offer variety of food.

Exit Interview Conducted. Deficiencies Cited. Report Issued