Follow-up·April 3, 2026

On 04/02/2026 at 9:45 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a Case Management visit. LPA met with Administrator, Roland Wilson and explained the purpose of the visit. While LPA P. Manalo conducted a complaint investigation (15-AS-20260121110338), LPA was informed from W1 that staff do not have access to the medication cabinet. During the visit, LPA interviewed S1, S2, and Administrator. LPA reviewed S1's medication training from 2025. Interview with 3 of 3 all stated that they know where the key is for the medication cabinet and have access to it if needed. Interview with ADM revealed that in each shift there is a delegated lead staff to provide the medications if needed to the residents and both ADM and S1 confirmed that the medication is distributed right away once dispensed. LPA and ADM discussed medication training topics with all staff members even if the staff is not delegated lead staff in case of emergencies. No deficiencies cited. Exit interview conducted and a copy of this report provided.