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25 | On 2/11/2021, Licensing Program Analyst (LPA) Luisa Fontanilla conducted a televisit via Facetime to conduct pre licensing - continuation and met with Administrator Grace Aquino.
On October 1, 2020, LPA conducted prelicensing and observed concerns that needed to be corrected. On
November 4, 2020, LPA conducted a follow up televisit to verify completion of observed concerns. During the
visit, all but one were observed completed. And this is regarding the use of Room#19 as resident room.
On 2/8/2021, LPA received updated sketch, Lic 200 and STD 850 indicating that Room 19 is designated as
staff room and approved capacity is 33.
On 2/11/2021, LPA conducted a televisit with Administrator to discuss the following changes made from the original application and fire clearance: 1) Room 19 is designated as staff room and cannot be used as resident room and 2) the original capacity of 35 has been changed to 33.
LPA observed that facility is ready to be licensed. Due to COVID 19 shelter in place order, Administrator was not available to physically sign this report.
This report will be submitted to Central Applications Branch (CAB) and a final review of the application will be conducted. Additional requirements may still be required.
Exit interview conducted and a copy of this report was provided to Administrator via email. |