Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced plan of correction (POC) visit at the facility to follow up on deficiencies noted on 5/30/24 during an annual inspection visit. LPA met with Imelda Jonson and explained the reason for the visit.

On 5/30/24 LPA Flores conducted an unannounced annual visit at the facility and noted the following deficiencies:

Type A - Section 80088(e)(1) - Fixtures, Furniture, Equipment, and Supplies : On 5/30/24 LPA Flores measured bathroom #1 water temperature at 122.2 degrees F. On 7/11/24 LPA tested water temperature in bathroom #1 and measured at 119.4 degrees F., which is within the required temperature of 105-120 degrees F. Deficiency cleared as of 7/11/24.

Type B - Section HSC 1565(d) Other Provisions: On 5/30/24 LPA reviewed Emergency Disaster Plan LIC 610(10/03) which does not meet the requirements of LIC 610(12/21). On 6/6/24 a copy of LIC 610 (12/21) was email to LPA. Deficiency cleared as of 6/6/24.

Exit interview was conducted with Imelda Jonson and a copy of this report, and clearance letters were provided.