Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct proof of correction (POC) visit. LPA met with staff, Sameer Aziz, and informed the purpose of visit. LPA called and spoke over the phone with Alanna Spencer, administrator (ADM), and informed about the non-submission of POCS for the citations issued on 1/08/25 for deficiencies for a complaint and case management. LPA further informed the ADM that civil penalties (CPs) will be issued on this day, and that the CPs will continue for $100.00/day until corrected.

On 1/08/25, LPA Delmundo issued the following citations with 1/22/25 due date to submit the POCs:

Civil penalty = $100.00 x 8 days (1/23/25 to 1/30/25) = $800.00

Civil penalty = $100.00 x 8 days (1/23/25 to 1/30/25) = $800.00

The civil penalties were discussed with the ADM over the phone in the presence of Sameer Aziz. LPA asked, and ADM state she can not come to the facility, and authorized Sameer Aziz to sign and receive this report.

Exit interview conducted. Appeal Rights, LIC421FCs Civil Penalty Assessments, LIC9098 Proof of Correction forms, and copy of this report provided.