Facility Evaluation Report

On 1/16/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced to conduct a Case Management - Plan of Correction (POC) visit. LPA met with facility manager, Apakuki Nawasa (S1) and stated the purpose of the visit. Upon arrival, S1 was the only staff on duty, with 4 residents in care.

Based on today's visit, it was determined and confirmed that licensee did not submit one Plan of Correction that was issued on 1/9/2026. The facility was cited with CCR 87465(a)(4) A plan for incidental medical and dental care shall be developed by each facility…The licensee shall assist residents with self-administered medications as needed. This citation was due on 1/10/2026. The licensee did not comply with the terms of the POC-by-POC due date.

Facility is hereby being assessed a civil penalty in the amount of 100$ per day is assessed for the failure to correct, from the date of 1/10/2026 to today 1/16/2026, a total of $800. A fine will continue to accrue in the amount of 100$ per day until the POC is implemented and proof of correction is submitted to the department for review.

Appeal rights were given, a copy of the civil penalty was given to S1, a copy of the report was read and given to S1. an exit interview was held.