Follow-up on corrections·February 29, 2024

During Licensing Program Analyst (LPA) Crystal Colvin's inspection at the facility to conduct an inspection. During the inspection, LPA Colvin confirmed that Resident One (R1) was taken to the hospital via 911 on 2/21/24, but the facility did not submit an Unusual Incident Report to Licensing. Deficiency cited. LPA Colvin counseled Administrator Mark Maligaya and informed him of the circumstances in which Licensing should be notified of an event occurring with a resident. LPA Colvin additionally advised the Administrator of proper procedure for submitting reports, as LPA Colvin observed that no Incident Reports or Death Reports have been submitted to Licensing since the issuing of this license. Based on LPA Colvin's observations, the facility was cited and deficiency issued. LPA Colvin conducted an exit interview with Administrator Mark Maligaya and a copy of this report, LIC809D, LIC9098 Proof of Correction Form, and appeal rights were provided.