Correction check·September 3, 2025

Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on Administrator Eliza Daquioag, during the conclusion of a complaint investigation. LPA explained the purpose of the visit. The facility was cited the following Type A deficiencies on August 22, 2025 1569.50 Denial, suspension or revocation of license, POC due date August 23, 2025 87405 Administrator - Qualifications and Duties (d)(2), POC due date August 23, 2025 The Facility was cited the following Type B deficiencies on August 22, 2025. 87463 Reappraisals (a), POC due date August 29, 2025 87211 Reporting Requirements (a)(1)(D), POC due date August 29, 2025 LPA received plan of corrections by POC date. Deficiencies cleared during todays visit. POC cleared letter provided to ADM. No deficiency was cited during todays visit. This report was reviewed with Administrator Eliza Daquioag.