Routine inspection (multi-day)·March 29, 2023

Licensing Program Analyst's (LPA's) De Leon and Chavez conducted a Case Management Annual Continuation to the facility above. LPA met with Wildfred Pacaoan, Licensee and explained the purpose of the visit. LPA's reviewed 4 staff files all required forms were present, Personnel Record, 1st Aid & CPR, Fingerprint clearance and associations, Criminal Records Clearance, and Health screening with TB results. LPA's reviewed Staff Training Records, all training records were present with a total of 18 hours completed and missing 2 hours annually covering hospice care and psycho-tropic medication which is required. LPA's reviewed 4 residents medications, medication reviewed were current on the CSMDR and MAR for 3 residents in care. One resident had a wrong expiration date on the CSMDR and 1 medication was not written on the MAR as prescribed by the physician. Staff corrected both CSMDR and MAR errors on visit. Exit interview conducted, Deficiency cited, Technical Violations issued, copy of report and appeal rights issued to Administrator.