Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced plan of correction (POC) visit at the facility to follow up on deficiency noted on 7/9/24. LPA met with Maria Quizon and explained the reason for the visit.

On 7/9/24 LPA conducted a POC visit and on a case management visit noted the following deficiency:

87309 Storage Space: (a) On 6/6/24 LPA Flores conducted an annual visit and observed cleaning solution on resident's night stand in room #222 per physician's report resident has dementia. On 7/9/24 LPA conducted a POC visit and notices the cleaning solution on the same spot. Therefore, cited the deficiency during that visit. On 7/22/24 LPA toured room #222, cleaning solutions were removed, and obtained copies of resident's care plan regarding cleaning supplies and staff training.

Exit interview was conducted and a copy of this report was provided.