1
2
3
4
5
6
7
8
9
10
11
12
13 | Licensing Program Analyst (LPA) Lydia Martinez contacted the facility to deliver findings via telephone due to COVID-19 and precautionary measures. LPA Martinez identified herself to Administrator Maria Manimbo and discussed the purpose of the call.
During the course of the investigation, LPA conducted interviews with facility Administrator, Witness 1 (W1), Witness 2 (W2) as well as reviewed and obtained copies of Resident 1’s (R1) file which included: Unusual Incident Report dated 12/24/2019, Physician's Report dated 08/19/2019, Identification & Emergency Information, Initial Admission Agreement signed 08/10/2014, Admission Agreement signed 04/18/2016, Medicine Administration Record for 12/2019, unsigned Contract along with Expense statements dated 2/5/2020, emails dated 01/14/2020, 01/18/2020, and pictures of food served to the residents.
(see LIC9099C)
|