Facility Evaluation Report

At 9:30 AM , Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced Plan of Correction (POC) visit at the facility. LPA met with Staff #1 (S1) and Staff #2 (S2) . The Administrator was contacted via telephone and stated they were unable to come to the facility but designated staff to assist with the visit and accept the report.

The purpose of the POC visit was to determine whether deficiencies cited during the Annual Inspection on January 5, 2026 were corrected.

The following deficiencies are NOT CLEARED:

1. 87303(e)(2) – Hot Water Temperature - LPA tested the hot water temperature at resident-use faucets and observed the temperature to be 119.3°F , which does not exceed the maximum allowable temperature of 120°F . Plan of Correction met.

2. 87309(a) – Locked Storage of Hazardous Items - LPA observed knives, sharps, cleaning supplies, tools, and poisonous substances stored unlocked i n kitchen cabinets and the laundry room, accessible to residents in care. Plan of Correction not met.

3. 87355(e) & 87355(e)(3) – Criminal Record Clearance and Association - LPA reviewed LIS and Guardian and did not observe Staff #1 (S1) associated with the facility, nor Staff #2 (S2) f ingerprint cleared and associated prior to working. Plan of Correction not met.