Inspection Reports for Cessa Bella Residential Suite
8295 Opal Station Dr, Reno, NV 89506, NV, 89506
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20
15
10
5
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High
Moderate
Low
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Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 8
Capacity: 8
Deficiencies: 5
Jul 15, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by two complaints alleging issues including locked exit doors requiring a key, caregiver inability to speak and understand English, and abuse allegations.
Findings
The investigation substantiated that the front primary exit door was locked with a bolt requiring a key to unlock from the inside, and that a caregiver was unable to demonstrate the ability to speak and understand English. Other allegations such as physical restraint and abuse were not substantiated. Additional deficiencies included incomplete personnel records for one employee, improper physician placement determinations for residents, and the facility lacking an Alzheimer's/dementia endorsement despite admitting a resident requiring such care.
Complaint Details
Two complaints (#NV00024320 and #NV00024580) were investigated. Both substantiated allegations that the front primary exit door was locked with a bolt requiring a key to unlock from inside and that a caregiver was unable to demonstrate English language proficiency. Other allegations including physical restraint, telephone issues, resident-to-resident abuse, and employee-to-resident abuse were not substantiated due to lack of evidence.
Severity Breakdown
Level 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Administrator failed to ensure complete personnel records for Employee #6. | Level 2 |
| Caregiver (Employee #5) unable to demonstrate ability to speak and understand English. | Level 2 |
| Primary exit door equipped with a deadbolt lock requiring a key to unlock from inside, violating fire safety regulations. | Level 2 |
| Resident #5 admitted without proper Alzheimer's/dementia endorsement despite placement determination indicating need. | Level 2 |
| Resident #6 lacked documented evidence of an initial standard physician placement determination upon admission. | Level 2 |
Report Facts
Complaints investigated: 2
Facility licensed beds: 8
Residents present: 8
Severity Level 2 deficiencies: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #6 | Caregiver | Named in finding for incomplete personnel records and working without a completed file. |
| Employee #5 | Caregiver | Named in finding for inability to speak and understand English. |
| EVA BELTEJAR | Owner | Signed the report as the facility owner. |
Inspection Report
Complaint Investigation
Census: 7
Capacity: 8
Deficiencies: 6
Jan 2, 2025
Visit Reason
The inspection was conducted as a complaint investigation triggered by Complaint #NV00072940, involving allegations related to medication administration and caregiver training.
Findings
The investigation found that the facility failed to ensure timely employee background checks, maintain current CPR and first aid certifications, properly review person-centered service plans annually, correctly store and label medications, display the current state survey placard, and complete accurate physician placement determinations for residents.
Complaint Details
Complaint #NV00072940 with allegations regarding missing resident medications, incomplete Medication Administration Records, and caregiver medication administration training were investigated but not substantiated due to lack of evidence.
Severity Breakdown
Severity: 2: 5
Severity: 1: 1
Deficiencies (6)
| Description | Severity |
|---|---|
| Failure to ensure 2 of 4 employees met background check requirements, including fingerprinting and renewal. | Severity: 2 |
| Failure to ensure 1 of 4 employees had current CPR and first aid certification. | Severity: 2 |
| Failure to review person-centered service plans annually for 2 of 2 residents. | Severity: 2 |
| Failure to properly store refrigerated medication and label opened medication with date. | Severity: 2 |
| Failure to display the most current State survey placard (B grade) conspicuously. | Severity: 1 |
| Failure to ensure accurate physician placement determinations for 2 of 5 residents. | Severity: 2 |
Report Facts
Number of complaints investigated: 1
Facility licensed capacity: 8
Resident census at time of survey: 7
Severity 2 deficiencies: 5
Severity 1 deficiencies: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #3 | Caregiver | Named in findings for expired background check and lack of current CPR and first aid certification |
| Employee #4 | Caregiver | Named in findings for missing fingerprinting and background check |
| EVA BELTEJAR | Owner | Interviewed and confirmed deficiencies related to employee background checks, CPR certification, medication storage, and survey placard display |
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 6
Sep 11, 2024
Visit Reason
This inspection was an annual State Licensure survey conducted by the Division of Public and Behavioral Health in accordance with NAC 449, Residential Facility for Groups.
Findings
The facility was found to have multiple regulatory deficiencies including incomplete personnel and resident medical records, admission of a bedfast resident without a waiver, lack of required physical examination documentation prior to admission, failure to conduct medication profile reviews every six months, late completion of required medication management training for an administrator, and delayed cultural competency training for employees.
Severity Breakdown
Severity: 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Administrator failed to ensure personnel and resident medical records were complete and accurate. | Severity: 2 |
| Facility failed to ensure a bedfast resident was not allowed to remain without a waiver submitted to the State Agency. | Severity: 2 |
| Facility failed to ensure a physical examination was completed prior to admission for one resident. | Severity: 2 |
| Administrator failed to ensure medication profile review was performed at least once every six months for one resident. | Severity: 2 |
| One employee failed to complete required annual medication management training on a timely basis. | Severity: 2 |
| Facility failed to ensure cultural competency training was completed timely for two employees. | Severity: 2 |
Report Facts
Residents present: 6
Total licensed beds: 8
Employees reviewed: 5
Residents reviewed: 6
Severity 2 deficiencies: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| EVA BELTEJAR | Owner | Signed the report |
| Employee #1 | Administrator | Failed to complete annual medication management training on time |
| Employee #2 | Office Manager | Did not complete cultural competency training within first 30 days of employment |
| Employee #3 | Caregiver | Did not complete cultural competency training within first 30 days of employment |
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 0
Jan 3, 2024
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation at the facility on 01/03/24.
Findings
No regulatory deficiencies were identified during the inspection. One complaint was investigated but could not be substantiated due to lack of evidence. The facility received a grade of A.
Complaint Details
Complaint #NV00069675 alleged the facility had only one to two weeks of food on hand for residents. The allegation was not substantiated after observations and interviews.
Report Facts
Resident records reviewed: 6
Employee records reviewed: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver/Medication Technician | Interviewed during complaint investigation |
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 4
Mar 1, 2023
Visit Reason
The inspection was conducted as a result of a State Licensure annual survey and complaint investigation at the facility on 03/01/23.
Findings
The facility received a grade of A. One complaint was investigated but not substantiated. Several regulatory deficiencies were identified including failure to ensure residents receiving skilled nursing care were properly admitted, unsecured oxygen tanks in residents' rooms, lack of admission ADL assessment for a resident, and failure to provide required training for a new employee.
Complaint Details
One complaint (#NV00067995) was investigated but could not be substantiated due to lack of evidence regarding allegations of inadequate care and failure to timely call hospice agency and remove a resident's body.
Severity Breakdown
2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility failed to ensure a resident receiving 24 hour skilled nursing care was not allowed to remain without submitting waivers to the State Agency. | 2 |
| Facility failed to ensure four oxygen tanks located inside residents' rooms were secured. | 2 |
| Facility failed to ensure an Activities of Daily Living (ADL) assessment was completed upon admission for 1 of 5 sampled residents. | 2 |
| Facility failed to ensure 1 of 1 new employees completed four hours of training related to persons with intellectual disabilities within 60 days of hire. | 2 |
Report Facts
Licensed beds: 8
Residents present: 5
Resident files reviewed: 5
Employee files reviewed: 4
Complaint investigated: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Beltejar-Difuntorum | Owner | Named as Owner/Caregiver involved in confirming deficiencies and interview |
| Employee #3 | Caregiver | Failed to complete required training related to intellectual disabilities within 60 days of hire |
Inspection Report
Complaint Investigation
Census: 3
Deficiencies: 0
Dec 7, 2022
Visit Reason
The inspection was conducted as a result of a complaint investigation initiated at the facility on 12/07/22, addressing multiple allegations regarding resident care and staff conduct.
Findings
The investigation included observations, interviews, and document reviews. None of the allegations were substantiated due to lack of evidence, and no regulatory deficiencies were identified. The facility received a grade of A and no further action was necessary.
Complaint Details
The complaint investigation addressed seven allegations including neglect in resident care, isolation, inappropriate staff behavior, inadequate bathing, lack of orientation on hygiene supplies, misinformation about rehab refusal, and communication barriers with a caregiver. None were substantiated.
Report Facts
Sample size: 8
Inspection Report
Re-Inspection
Census: 6
Capacity: 8
Deficiencies: 17
Oct 5, 2022
Visit Reason
This inspection was a mandatory re-grading State Licensure survey conducted in accordance with Nevada Administrative Code Chapter 449 for a Residential Facility for Groups.
Findings
The facility received a grade of A but multiple regulatory deficiencies were identified including caregiver qualifications, medication administration errors, failure to post current facility license, food storage violations, and incomplete resident files.
Severity Breakdown
D: 7
E: 4
F: 4
Deficiencies (17)
| Description | Severity |
|---|---|
| Qualifications of Caregivers - Age, English, Training requirements not met as per NAC 449.196. | D |
| Qualifications of Caregiver - Medication Training requirements not met. | D |
| Personnel Files - Background Checks incomplete. | F |
| Personnel File - First Aid & CPR certification missing. | F |
| Health & Sanitation - Facility interior, exterior, and landscaping not well maintained. | F |
| Health & Sanitation - Windows and doors not properly screened to prevent insect entry. | E |
| Kitchens - Equipment not clean or in good working condition. | D |
| Storage of Food - Perishable foods not refrigerated properly; opened grape jelly stored in pantry. | D |
| Rights of Residents - Facility not ensured to be safe and comfortable environment. | F |
| Written Policy on Admissions - Facility admitted or allowed to remain persons not meeting eligibility criteria. | E |
| Posting Requirements - Current facility license not posted in a conspicuous place. | D |
| Medical Care of Resident After Illness - Physical examinations and care instructions not properly obtained or followed. | D |
| Medication Administration - Accuracy and reporting deficiencies including failure to document administration and incorrect transcription of orders. | D |
| Medication/OTCs, Supplements, Change Order - Administration not in accordance with physician orders and documentation incomplete. | E |
| Medication - Destruction - Failure to timely remove and destroy discontinued medication for Resident #5. | D |
| Administration of Medication Maintenance - Incomplete medication administration records and documentation. | D |
| Maintenance and Contents of Separate File - Resident files not properly maintained or complete. | E |
Report Facts
Licensed beds: 8
Residents present: 6
Severity 2 deficiencies: 3
Severity 1 deficiencies: 2
Severity D deficiencies: 7
Severity E deficiencies: 4
Severity F deficiencies: 4
Inspection Report
Annual Inspection
Census: 7
Capacity: 8
Deficiencies: 15
Oct 7, 2021
Visit Reason
This inspection was conducted as an annual State Licensure Survey of the residential facility for groups to assess compliance with state regulations.
Findings
The facility was found deficient in multiple areas including caregiver certifications, health and sanitation issues, medication administration, resident care documentation, and personnel background checks. The facility received a grade of D and was required to submit a plan of correction.
Severity Breakdown
2: 14
Deficiencies (15)
| Description | Severity |
|---|---|
| Failed to ensure caregivers were certified timely to perform CPR and first aid for 2 of 5 sampled caregivers. | 2 |
| Failed to maintain the premises including a broken commode tank lid and debris in the yard. | 2 |
| Failed to ensure all windows and doors used for ventilation were screened to prevent insect entry. | 2 |
| Failed to ensure perishable foods were refrigerated properly. | 2 |
| Failed to ensure implementation of mask mandate to protect residents from COVID-19 exposure. | 2 |
| Failed to ensure residents did not remain in the facility after becoming bedfast without approved waivers for 2 of 8 residents. | 2 |
| Failed to ensure physical examinations were completed prior to admission or annually for 2 of 7 residents. | 2 |
| Failed to ensure medication profile reviews were performed at least every six months for 2 of 7 residents. | 2 |
| Failed to have medication on site, physician orders, and administer medications as prescribed for 2 of 7 residents. | 2 |
| Failed to maintain accurate Medication Administration Records for 1 of 7 residents. | 2 |
| Failed to ensure tuberculosis testing compliance for 1 of 7 residents. | 2 |
| Failed to ensure 2 of 5 employees obtained required annual caregiver training. | 2 |
| Failed to ensure 1 of 5 employees completed required annual medication management training timely. | 2 |
| Failed to ensure 3 of 5 employees met background check requirements including fingerprint submission and clearance. | 2 |
| Failed to ensure Activities of Daily Living assessments were completed upon admission and annually for 1 of 7 residents. | 2 |
Report Facts
Facility licensed capacity: 8
Census: 7
Employee files reviewed: 5
Resident files reviewed: 7
Survey grade: D
Resurvey application fee: 600
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #1 | Manager / Owner | Named in findings for CPR/first aid certification lapse and background check deficiencies |
| Employee #2 | Caregiver | Named in findings for missing annual caregiver training and medication management training |
| Employee #3 | Caregiver | Named in findings for background check deficiencies |
| Employee #4 | Caregiver | Named in findings for CPR/first aid certification lapse |
| Employee #5 | Administrator | Named in findings for missing annual caregiver training and background check deficiencies |
| Evangeline Beltejar-Difuntorum | Owner | Signed the report |
Inspection Report
Renewal
Census: 6
Capacity: 8
Deficiencies: 0
Oct 19, 2020
Visit Reason
This inspection was conducted as a result of a State Licensure re-grading survey for the residential facility for groups.
Findings
The facility received a grade of A with no deficiencies identified. Six resident files and five employee files were reviewed during the survey.
Report Facts
Resident files reviewed: 6
Employee files reviewed: 5
Inspection Report
Follow-Up
Census: 8
Capacity: 8
Deficiencies: 4
Sep 23, 2020
Visit Reason
This inspection was a State Licensure COVID-19 Infection Control and Prevention Plan follow-up survey conducted to assess the facility's compliance with infection control requirements and implementation of a documented plan.
Findings
The facility failed to provide a safe environment by not properly screening visitors, residents, and staff for COVID-19 symptoms, allowing visitors without masks, caregivers wearing ineffective masks, and lacking a documented infection control and prevention plan. The Owner was unable to provide the requested documentation during the survey.
Severity Breakdown
F: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility did not have an Infection Control and Prevention Plan documented and ready for implementation. | F |
| Visitor entered without being screened or wearing a facial covering. | F |
| Caregiver wore a mask with a hole over the mouth area, rendering it ineffective. | F |
| Facility failed to screen residents and staff for signs and symptoms of COVID-19 daily. | F |
Report Facts
Facility licensed beds: 8
Resident census: 8
Severity level: 2
Scope: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Evangeline Beltejar-Difuntorum | Owner | Owner unable to provide infection control documentation and verbalized plans during phone call |
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 2
Jan 14, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation regarding allegations of untimely call bell response and inability of staff to transfer residents.
Findings
The facility received a grade of A. The complaint allegations were not substantiated. Two deficiencies were identified related to caregiver qualifications and periodic physical examinations, both with severity level 2 and scope 1.
Complaint Details
Complaint #NV00044856 with allegations of call bell not answered in a timely manner and inability of staff to transfer residents. The allegations could not be substantiated after investigation including observations and interviews.
Severity Breakdown
Severity 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure 1 of 5 employees completed annual medication administration training in a timely manner. | Severity 2 |
| Facility failed to ensure 1 out of 8 residents had a physical examination prior to admission. | Severity 2 |
Report Facts
Licensed beds: 8
Residents present: 6
Employees reviewed: 4
Resident files reviewed: 6
Severity 2 deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iquathia G. Sigua | Owner | Acknowledged lapse in training and findings during inspection |
| Employee #2 | Caregiver | Failed to complete annual medication administration training timely |
Inspection Report
Annual Inspection
Census: 6
Capacity: 8
Deficiencies: 2
Jan 14, 2016
Visit Reason
The inspection was conducted as an annual State Licensure survey combined with a complaint investigation to assess compliance with regulations for a residential facility for elderly and disabled persons.
Findings
The facility received a grade of A. The complaint allegations regarding call bell response and staff transfer ability were not substantiated. Two deficiencies were identified related to caregiver medication training and physical examination of residents, both with severity level 2.
Complaint Details
Complaint #NV00044856 with allegations of call bell not answered timely and inability of staff to transfer residents was investigated and not substantiated.
Severity Breakdown
Severity 2: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure 1 of 5 employees completed annual medication administration training in a timely manner. | Severity 2 |
| Failure to ensure 1 out of 8 residents had a physical examination prior to admission. | Severity 2 |
Report Facts
Licensed capacity: 8
Current census: 6
Deficiency count: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #2 | Caregiver | Named in deficiency for medication administration training lapse |
| Luquisha G. Sigua | Owner | Acknowledged findings and signed report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 8
Deficiencies: 4
Jan 21, 2015
Visit Reason
This inspection was conducted as a State Licensure annual grading survey of the facility from 1/20/15 to 1/21/15 by the authority of NRS 449.0307.
Findings
The facility received a grade of A. Deficiencies were identified related to oxygen tank safety and documentation and care of pressure ulcers in residents. Specifically, 3 of 4 oxygen tanks were unsecured, and required physician documentation and wound care records for pressure ulcers were missing for residents.
Severity Breakdown
Severity: 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to ensure 3 of 4 oxygen tanks were secured in a stand or to a wall. | Severity: 2 |
| Failed to obtain required documentation of the physician's diagnosis of a pressure ulcer requiring treatment in 1 of 1 residents. | Severity: 2 |
| Failed to obtain required documentation of the care and reassessment of a pressure ulcer requiring treatment in 1 of 1 residents. | Severity: 2 |
| Failed to ensure records of care provided to a resident with a pressure ulcer were maintained, including explanation of the cause of the ulcer. | Severity: 2 |
Report Facts
Licensed capacity: 8
Census: 5
Oxygen tanks unsecured: 3
Pressure ulcer wound size: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Employee #2 acknowledged oxygen tanks were unsecured | ||
| Administrator | Administrator interviewed regarding pressure ulcer documentation and care |
Inspection Report
Complaint Investigation
Census: 7
Capacity: 8
Deficiencies: 3
Jun 19, 2014
Visit Reason
The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on 3/3/14 and 6/16/14, finalized on 6/19/14, due to allegations regarding the front door deadbolt knob not being installed and residents' medications not given according to physician's instructions.
Findings
The investigation substantiated two allegations: the front door deadbolt knob was not installed, preventing unlocking from inside, and residents' medications were not administered as prescribed. Additionally, a deficiency unrelated to the complaint was identified regarding laundry equipment.
Complaint Details
Complaint #NV00038336 was substantiated with two allegations: 1) front door deadbolt knob not installed, 2) residents' medications not given according to physician's instructions. The complaint investigation was initiated by the Division of Public and Behavioral Health and finalized on 6/19/14.
Severity Breakdown
Severity: 2: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Laundry washer was not in good repair causing clothes to air dry outdoors for 7 of 7 residents. | — |
| Front door deadbolt knob was not installed, preventing door unlocking from inside. | Severity: 2 |
| Residents' medications were not given according to physician's instructions; 4 of 8 residents' medications were not administered as prescribed. | Severity: 2 |
Report Facts
Licensed capacity: 8
Census: 6
Census: 7
Residents reviewed: 8
Severity 2 deficiencies: 2
Residents with medication errors: 4
Inspection Report
Complaint Investigation
Census: 7
Capacity: 8
Deficiencies: 4
Jun 19, 2014
Visit Reason
The inspection was conducted as a complaint investigation initiated by the Division of Public and Behavioral Health on 2014-03-03 and 2014-06-16, finalized on 2014-06-19, due to allegations regarding the front door deadbolt lock and medication administration.
Findings
The complaint was substantiated with deficiencies found in the facility's front door lock making exit difficult, failure to administer medications according to physician's orders for multiple residents, and a laundry washer that was out of order requiring clothes to be air dried. Additional deficiencies included incomplete medication administration records and documentation errors.
Complaint Details
Complaint #NV00038336 was substantiated. Allegation #1: The front door deadbolt knob was not installed, preventing unlocking from inside. Allegation #2: Residents' medications were not given according to physician's instructions.
Severity Breakdown
Level 2: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Laundry washer was not in good repair, requiring clothes to be air dried for all 7 current residents. | Level 2 |
| Front door deadbolt knob was not installed, preventing the door from being unlocked from the inside, posing a safety risk. | Level 2 |
| Medications for 4 of 8 residents were not administered as prescribed by the physician, including incorrect dosing frequency and timing. | Level 2 |
| Administrator failed to ensure accurate and complete medication administration records for all 8 residents, including missing initials and documentation errors. | Level 2 |
Report Facts
Licensed beds: 8
Census on 2014-06-16: 7
Residents with medication administration issues: 4
Residents with incomplete MAR documentation: 8
Residents' records reviewed: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Caregiver #1 | Acknowledged washer was out of order and deadbolt lock was previously broken; involved in medication administration | |
| Employee #1 | Owner | Provided medication reviews, physician orders, and explanations regarding medication administration and documentation |
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 0
Jan 21, 2014
Visit Reason
This document reports on a State Licensure annual grading survey conducted at the facility from 1/2/14 to 1/21/14.
Findings
The facility received a grade of A with no regulatory deficiencies identified during the survey.
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 0
Dec 19, 2012
Visit Reason
The visit was an annual State Licensure survey conducted on 12/19/2012 to assess compliance with state regulations for the facility.
Findings
No regulatory deficiencies were identified during the survey. The facility received a grade of A, and eight resident and three employee files were reviewed.
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 0
Nov 23, 2011
Visit Reason
This document is the result of an annual State Licensure survey conducted from 11/09/2011 to 11/23/2011 to assess compliance with state regulations for the facility.
Findings
The facility received a grade of A with no regulatory deficiencies identified. No further action was necessary.
Inspection Report
Annual Inspection
Census: 8
Capacity: 8
Deficiencies: 0
Dec 1, 2010
Visit Reason
The inspection was conducted as an annual State Licensure survey of the facility on 12/1/2010 by the authority of NRS 449.150.
Findings
No deficiencies were identified during the survey. The facility received a grade of A.
Report Facts
Resident files reviewed: 8
Employee files reviewed: 6
Discharged resident files reviewed: 1
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