Correction check·March 19, 2025

On March 19, 2025, at 3:30 PM, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced Plan of Corrections visit to the facility following deficiencies noted during the Annual Inspection on February 4, 2025. The LPA met with Editha Paclab, the Administrator, and explained the purpose of the visit. During the inspection on February 4, 2025, the facility received citations for two issues: 87506 missing or incomplete resident records for residents #1 through #5, and 87608 regarding Postural Supports for Resident #3, who is not on hospice care and had full bed rails in place without a physician's order. During the visit, the LPA reviewed all resident files and found that all required Community Care Licensing (CCL) forms were adequately maintained and complete. Additionally, the LPA was presented with an authorized physician's order to use full bed rails for Resident #3. As a result of the audit of resident files, the licensee is now in compliance. No deficiencies cited during this visit. An exit interview conducted with Editha Paclab and a copy of the report is provided.