Correction check·August 12, 2024

Licensing Program Analysts (LPA) Pang Lee arrived at the facility on 08/12/2024 at 11:52 AM to conduct an unannounced Plan of Correction (POC) visit. LPA met with care giver Adi Lina Tuiloma and Aliti Waqalala and explained the purpose of the visit. The purpose of this visit is to verify the plan of correction that was required to be completed on 07/01/2024 and 07/05/2024 for deficiencies that were previously cited on a prior visit conducted on 06/24/2024. During today's visit. LPA Lee called administrator Mark Labella and left a message. Administrator was not present during today’s visit. The current census is 8 with two facility staff. Based upon this inspection, LPAs observed the following: I. The deficiency cited under Title 22 Regulation 87411(a) has not been cleared. The license did not comply with the terms of the POC-by-POC due date. A POC letter was not generated and provided to the licensee. II. The deficiency cited under Title 22 Regulation 87465(a)(4) has not been cleared. The license did not comply with the terms of the POC-by-POC due date. A POC letter was not generated and provided to the licensee. III. The deficiency cited under Title 22 Regulation 87405(d) has not been cleared. The license did not comply with the terms of the POC-by-POC due date. A POC letter was not generated and provided to the licensee. As a result of this, POC visit the facility is not in compliance with Title 22 Regulation. An exit interview was conducted, and a copy of these LIC 809, LIC 809D reports and appeal rights were provided to the facility.