Facility Evaluation Report

On 08/09/2024 at 9:30 AM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Plan of Correction (POC) visit. LPA met with, Manager, Marilou Ladaban. Licensee/Administrator, Elizabeth Cortes, was available for a brief moment but had to leave.

The facility submitted an appeal that was received by Regional Office on 05/03/2024. The appeal was in response to citation deficiencies 80087(a), 87608(a)(3) and 87211(b) that in which 80087(a) and 87211(b) were assessed civil penalties on 04/11/2024 and 05/01/2024. On 07/31/2024 the appeal was denied by Regional Office.

Facility has the following deficiencies cleared:

Deficiency CCR 87608(a)(3) cleared on 05/01/2024.

Deficiency CCR 87211(b) cleared on 04/19/2024.

Facility has the following deficiencies that was not cleared :

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

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