Facility Evaluation Report

On 4/6/2023 at 9:00 AM, Licensing Program Analysts (LPAs) K. Nguyen and G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPAs met with caregiver, Lester Calma. LPAs was unable to speak with the licensee.

Facility has the following deficiency that was not cleared :

- HSC1569.652(c); LPA. K. Nguyen did not receive POC due on 2/24/23 and licensee have not provided the documents.

Civil Penalties in the amount of $1,300 is assess today for the period of 3/25/23 to 4/6/23 for failure to meet POC date for deficiency HSC1569.652(c). Facility is subject to ongoing civil penalties until deficiency is corrected.

Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.