Facility Evaluation Report

On 7/6/2023 at 11:07 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Proof of Correction visit. LPA was not greeted at the front lobby entrance but proceeded to the Administrator's office. Acting Administrator, Marisol Goco (#6018647740 Expires 08/02/24), was sitting in the office and that is who the LPA met for the visit. During Proof of Correction visit, LPA toured facility including but not limited to bedrooms, bathrooms, common areas, and backyard areas.

For deficiency 87307(d)(6) , LPA observed that outside back and side yards were cleared. Deficiency cleared.

For deficiency 1569.618(c)(3) , LPA reviewed fax confirmation that was sent to CCL on 7/5/23 requesting an extension. Administrator and LPA agreed until 7/21/23 for staff to complete an online course/training for First Aid/CPR Certification. Administrator will send a copy of all staff's names that attends the training and have receipt of their certifications.

For deficiency 1569.618(a) and 1569.618(b), LPA reviewed fax confirmation that was sent to CCL on 7/5/23 that included LIC 308 "Designation of Facility Responsibility". Deficiency cleared.

For deficiency 87468(c)(2)(A) , LPA observed complaint poster, personal rights and non-discrimination notice posted in all entry including Memory Care and Independent Care units. Deficiency cleared.