Facility Evaluation Report

On 01/31/2024, Licensing Program Analyst (LPA) Melody Brown arrived at the facility to initiate a Case Management - Deficiency. LPA Brown met with Managing Member Florsefina Negado and Administrator Irene Capili. LPA Brown explained the purpose of the visit to Administrator Irene Capili.

During the visit on 01/26/2024, LPA Brown reviewed Client #1 (C1) facility documents and observed that the facility did not update C1 Needs and Services Plan as required. Per documents review, C1 completed Needs and Services Plan (LIC625) date's 01/09/2020 and C1 Physician Report (LIC602) date 01/15/2016. Administrator Capili was informed that LPA Brown will issue a deficiency as this pose potential health, safety and personal rights risks to clients in care.

An exit interview was conducted where this report (LIC809), LIC809D and Appeal Rights were discussed and provided to Administrator Irene Capili.