Non-compliance follow-up·February 3, 2026

On 02/03/2026 at 4:20 PM, Licensing Program Analyst (LPA) Patricia Manalo conducted a case management legal non-compliance visit and met with Health Services Director, Leslie Ibo. LPA explained to Ibo the purpose of the visit. This case management visit is conducted as follow up on the facility's compliance plan as a result of the Non-Compliance Conference (NCC) conducted on March 25, 2025. During the visit, LPA P. Manalo conducted an inspection of the Memory Care unit with Ibo. LPA reviewed R1 and R2's incidents dated on 01/07/2026 and 01/27/2026 that were reported to CCLD and residents' responsible party on a timely manner. Interview with Ibo revealed that when R1 had a witnessed fall and 911 was called when R1 verbalized that R1 was in pain. No deficiencies cited. Exit interview was conducted with Ibo and a copy of this report was provided.