Follow-up·February 11, 2026

On 2/11/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced to conduct a case management visit. LPA met with staff on duty, Mere Faletono (S1) and stated the purpose of the visit. The Licensee, Adi Lina Tuiloma, was notified. Adi Lina is unable to come to the facility at this time and appointed S1 to sign this report. Present during this visit were 4 residents in care with one staff on duty. An interview was conducted with S1. On 2/3/2026, LPA received a notification from staff (S2) stating that S2 is no longer the administrator and/or staff for this facility and wished to be disassociated from this facility. On 2/4/2026, LPA received a notification from S2 informing LPA that S2 talked to the licensee, Adi Lina Tuiloma, to disassociate S2 from this facility by 2/6/2026. On 2/9/2026, LPA followed-up with S2 regarding S2's status because per Guardian, S2 is still associated to the facility. S2 informed LPA that S2 has not worked at the facility since the pre-licensing visit on 9/2/2025. S2 stated S2 left after the pre-licensing. On 2/9/2026, LPA spoke with Adi Lina over the phone, She informed LPA that S2 is still the designated administrator. By email, LPA requested from Adi Lina documents pertaining to S2's employment status including pay stubs, timesheet and any evidence to support S2 still employed at this facility. LPA did not receive a confirmation from Adi Liina that she reveived LPA's requests until 2/11/2026. At this time, it is unclear if this facility is operating without an administrator. Further investigation is needed. During this visit, LPA obtain copy of Personnel Report (LIC500) record from 11/2025, 12/2025 and 2/2026; 1/2026 is missing. LPA also obtained copy of S2's personnel documents. LPA spoke with Adi Lina over the phone and she stated she will submit the requested documents to LPA by Friday, 2/13/2026. At this time, this case management will require a continuation. Exit interview was conducted with S1 and a copy of this report was provided.