Follow-up·May 11, 2022

Licensing Program Analyst(s) (LPA) Mary Flores conducted a announced case management visit to follow up on corrections needed during pre-licensing visit conducted on 3/21/22. LPA Flores met with applicant Shelly Yamashiro and conducted a tour to review corrections, reviewed resident's files and medication. During today's visit LPA Flores conducted a tour with applicant Shelly Yamashiro and observed the following corrections: LPA observed all medication lock and inaccessible to residents in care. LPA observed all knives, sharps lock and inaccessible to residents. LPA observed all cleaning supplies lock and inaccessible to residents. LPA reviewed residents files and observed current Physician's Report for each resident. LPA observed a shaded area outdoor. LPA observed passage way in the side of the house is kept free of debris and animal feces. LPA observed bathroom #2 has a skit mat in the shower. LPA reviewed medications (supplements) and observed labels per doctor's request and instructions. Component III of the application process was conducted on 3/21/22. Facility meets Title 22 Regulations for physical plant. Exit interview was conducted with Shelly Yamashiro and a copy of this report was provided.