Facility Evaluation Report

On 07/22/25, around 02:00 PM, Regional Manager (RM) Alycia Rayner, Licensing Program Manager (LPM) Laura Munoz, Licensing Program Analyst (LPA) Talwinder Bains, Licensing Program Analyst (LPA) Lavinia Muscan were present for a Non-compliance Conference with Licensee / Administrator Ioan Nagy which was held in-person in the office.

This conference does not in any manner excuse past problems or resolve the Department’s case against the licensee if the problems are not corrected. The Non-Compliance Conference may be the last step prior to initiating administrative action following unsuccessful attempts by the Department to gain compliance. Since last office meeting with facility on 10/01/24, the facility has been issued 1- A citations, 6- B citations, civil penalties of amount of $500.00 were issued.

Discussed during this conference include: False claims, Administrator Certificate issues, food supply violations, not conducting required fire and disaster drills, Medications management issues, Residents and staff records, staff training, staffing requirements and various other areas related to residents’ health and safety.

The licensee shall submit the following by AUGUST 01, 2025:

· Implement plan on medications management regulations

· Plan on how facility will conduct fire and disaster drills per requirement

· Plan to stay complaint with false claims regulations

· Conduct staff training for all required areas per Tile 22 Regulations

· Plan on how food quality will be monitored and maintained

· Implement internal audits for residents and staff records, increase administrative oversight, implement staffing plan.

Compliance plan documents shall be submitted to CCL by 08/01/25. Submit all documents to LPA Bains via email. The licensee agreed with the drafted non-compliance plan as outlined in LIC 9111. Citations were issued today per Tile 22 Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided.