Facility Evaluation Report

On 06/13/2025 at 2:30 PM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Proof of Correction (POC) visit and met with Licensee/Administrator, Obed D’Autruche. LPA explained the purpose of the visit to Licensee.

On 05/28/2025, LPA L. Alexander conducted an Annual Inspection in which deficiencies were cited. The POC due date was 06/11/2025.

Facility has the following deficiencies that was cleared :

Facility has the following deficiencies that was not cleared :

3. CCR 87412(a) $100.00 x’s 2 days = $200.00

4. HSC 1569.625(b)(2) $100.00 x’s 2 days = $200.00

5. CCR 87465(e) $100.00 x’s 2 days = $200.00

Civil Penalties in the total amount of $600.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected.

Exit interview conducted. A copy of this report, appeal rights and LIC421FC provided.