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 provided on 3/19/24. LPA met with Renorman Pascual and explained the reason fro the visit.

On 3/19/24 LPA Flores conducted a complaint investigation visit and deficiencies on the following were noted:

80065 Personnel Requirements: (a) - Based on licensing not ensure staff was available to supervise Client #1(C1) during the night shift to prevent C1 from consuming foreign bodies. Administrator was to provide a copy of plan created with the regional center to provide additional staffing to the department by POC 3/20/24. On 5/28/24 LPA received a copy of plan created for C1. Deficiency cleared as of 5/28/24.

Exit interview was conducted with Renorman Pascual and a copy of this report and clearance letter were provided.