Facility Evaluation Report

Licensing Program Analysts (LPA) Simi Rai and Mita Partoza conducted an unannounced case management visit. LPAs met with Licensee/Administrator, Angelita Bernardo.

LPAs delivered LIC 809-D from previous visit 12/14/2023.

Licensee verbally understood about the new Plan of Correction date.

All Type A deficiencies are due 24 hours before midnight on Sunday 12/17/2023. All Type B deficiencies are due midnight on Sunday 12/24/2023. LPAs reminded Licensee/Administrator to review all deficiencies and notify the Department for an extension and provide a valid reason and new date of extension.

This report was reviewed with Licensee/Administrator, Angelita Bernardo. A copy of the report and Appeal Rights were provided.