Follow-up·October 3, 2025

On 10/03/2025 at 12:25 PM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct a Case Management visit. LPAs met with Administrator (ADM), Gina Velayo and explained the purpose of the visit. During today's visit, LPAs confirmed with the Administrator, Gina Velayo, regarding the Default Decision and Order for Staff 1 (S1) and if the order has been received. ADM gave verbal confirmation that the Default Decision and Order document has been received by the facility. LPAs spoke with Witness 1 (W1) from Healthcare Services Group Incorporated that verified that S1 was from an outside agency and was terminated on 02/12/2023. LPAs also interviewed five other staff and all verified that S1 has not been or has worked with them at the facility. Record review of Guardian Roster shows that S1 is no longer associated with the facility. No deficiencies cited. Exit interview conducted and a copy of this report provided.