Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct a case management visit. LPA met with Charito De Los Reyes to discuss change of ownership.

The facility has not submitted the required documentation to change ownership. LPA provide the facility with information to complete the process to change ownership.

LPA toured the facility. During the facility visit LPA observed multiple issues with the facility. The medication administration record is not up to date and medications are missing for R1 and R2, Staff (S1) working today is not associated to this facility , S1 is missing first aid CPR certification and R2 need to have an updated physician's report (Lic 602) R2 stated that she is bedridden and she doe not get up to go to the bathroom or have a wheelchair or walker.

Informal meeting will be schedule to address the above concerns.

Deficiencies were cited during today's visit. Civil penalties assessed.