Facility Evaluation Report

On 09/30/2022, Licensing Program Analyst (LPA) J. Sampair conducted an unannounced Plan of Correction (POC) inspection of the facility to verify that the POC corrections had been implemented in a manner consistent with POC dated 09/19/2022. Upon entry into the facility, the LPA identified himself and the purpose of the visit to staff members who immediately called Administrator Rachelle Santiago to come to the facility.

The Administrator arrived after the LPA had completed his inspection of the facility inside and out. During his inspection, the LPA was able to verify that 1 of the 3 POCs were able to be cleared. The facility was fined for not clearing the other 2 by the due date a total of $1,500. Additionally, the facility was cited for 2 more deficiencies (refer to LIC 809-D).

A total of 2 civil penalties and 4 deficiencies (1 Type-A and 3 Type-B) were issued during the visit. A copy of this report was provided via email.