Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Mary Flores conducted a plan of correction (POC) visit to follow up on deficiencies given on 3/11/22. LPA Flores met with Lori Lackey Assistant Administrator and explained the reason of the visit.

The following deficiencies were observed during the annual visit on 3/11/22:

Section 87555(b)(21) General Service Food Requirements - On 3/11/22 Freezer's temperature was observed at 10 degrees which is not within the required temperature of 0 degrees. On 3/28/22 LPA Flores observed freezer thermometer at 0 degrees, on 3/18/22 LPA Flores received invoice for services provided by Heating and Air Conditioning contractor provided on 3/14/22. Deficiency is cleared.

Section 87465(d)(3) Incidental Medical and Dental Care - On 3/11/22 during medication review medication was reviewed and medication sheets were not initial upon providing medication to residents. On 3/28/22 LPA Flores reviewed medication and medication sheets for resident #1,#2,#3,#4. Deficiency has been cleared.

Exit interview was conducted with Lori Lackey assistant administrator and a copy of this report was provided.