Facility Evaluation Report

Licensing Program Analyst (LPA) Arlene Garcia made an unannounced visit to RM Ugale for the purpose of opening a Case Management. LPA met with Mabelyn Magsayo-Ugale, Administrator.

During records reviewed, LPA observed a resident admitted into the care home without the proper admission agreement completed and signed by the responsible party. The resident had no paperwork for emergency contacts. .LPA observed the resident did not have a physicians report or 602 prior to moving into the home. Interviews with care staff anf administrator conducted confirm the care staff and administrator had no understanding of the medical needs of the resident.

The following deficiencies were observed (see LIC 809-D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Appeal rights were provided. Exit interview conducted with Mabelyn Magsayo-Ugale, Administrator and a copy of this report was provided.. .