Routine inspection (multi-day)·October 7, 2023

Licensing Program Analyst (LPA) conducted a case management annual continuation of the facility. LPA met with Administrator I Enos Patacsil and explained the purpose of the visit. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, LIC. 602A Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible and completed in separate confidential folders for each resident in care. Incidental Medical Services: Facility provides transportation or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed all 5 residents medications, no labels were altered, and no medications were expired. All forms were completed accurately. Administrator and 1 staff person review medications for destruction, complete forms and take to the pharmacy to be destroyed. Exit interview conducted and copy of report printed for Administrator.