Facility Evaluation Report

On this day, April 19, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct proof of correction (POC) visit. LPA m et with Adeliza Magallones, administrator, and informed the reason for visit.

On 4/11/24, LPA conducted the first POC visit for the citations issued on 3/21/24 with POCs to be submitted by 4/04/24. Licensee failed to submit the POCs by the due and civil penalties were assessed on 4/11/24. Most of the documents (POC) requested for one of the deficiencies, section # 1569.269(a)(3), were only submitted by the licensee on 4/16/24. Additional civil penalty is assessed for deficiency section # 1569.269(a)(3).

Civil penalty = $100.00/day x 5 days (from 4/12/24 to 4/16/24)= $500.00

Civil penalty was discussed with t he Adeliza Magallones.

Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty Assessment, and copy of this report provided.