Facility Evaluation Report

On 08/03/2026, Licensing Program Analyst (LPA) Valerie Flores and Licensing Program Manager, Carolyn Tuba conducted an unannounced visit to the facility to conduct a health and safety check. LPA and LPM met with Executive Director, Teresa Mapilis and informed her the purpose of the visit.

During the course of the visit, LPA and LPM consulted with Executive Director to confirm medication

prescription for Resident 1 (R1). During an interview on 8/2/2026 it was disclosed to the LPM that R1 was not receiving the correct dosage. During today's visit LPA and LPM obtained documentation and reviewed records that states there will be no changes to R1's prescription per their physician.

LPA and LPM consulted with Executive Director what procedures are in place for CCL to request

documentation during a visit such as a physician's report when certain staff is not available. Executive

Director stated that Medical Technician's are to contact Management such as Executive Director who has

access to those documents during the visits conducted.

LPA and LPM conducted a tour of random sampling of Building "A", Building "D" and Building "C" and

observed no cool air or limited air coming out of the vents in residents rooms. Executive Director provided

documentation from a local HVAC company who has made repairs prior to today's visit. (A technical violation

An exit interview was conducted, and a copy of this report was reviewed and provided to Business Office