Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho continued the visit after delivering the findings in connection to Complaint Control Number: 22-AS-20231103161201. LPA stated the purpose of the visit to Administrator Frances Umali.

During the course of the complaint investigation mentioned above, LPA discovered that the Department did not receive a written report pertaining to the two falls Resident #1 (R1) suffered on October 17, 2022 and November 2, 2023. LPA obtained copies of the two incident reports on today's date.

As a result of today’s Case-Management visit, a Technical Advisory note (LIC9102) will be issued.

An exit interview was conducted with Frances Umali, and a copy of this report including the LIC9102 and LIC811 were provided at exit.