Facility Evaluation Report

On 03/22/2022 at 1:20 pm, Licensing Program Analysts (LPAs) C. Fowler and L. Hall arrived unannounced to conduct a POC visit. LPAs met with Administrator, Daniel Villa and explained the purpose of the visit.

Upon arrival LPAs had not received any POCs from Administrator.

Administrator requested for extension on 3/11/2022 submission of POC for deficiencies cited from annual inspection date 3/03/2022. The POC due dates were 3/11/2022 with the exception of section #87705(f)(1) with the due date of 3/5/2022. The proof of corrections for deficiencies section #87705(f)(1) and 87211(a)(1) were cleared during POC visit. Administrator requested extension due to a fall. LPA C. Fowler extended the request until 3/15/2022 with the exception of sections 87621(b)(1)(B) and 87606(f)(1).

On this same day, LPA C. Fowler discussed with Administrator the above and informed him that LPA C. Fowler will recite. An immediate Civil penalty of $500 was issued today.

Deficiency section 87606(f)(1) is re-cited--refer to LIC809D. Failure to submit proof of correction by plan of correction due date may result in civil penalty.

Plan and proof of correction was discussed with Administrator.

Exit interview conducted. Appeal Rights and copy of this report provided.