Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced Plan of Correction (POC) visit to this facility to issue a civil penalty for a POC that has not been corrected within the required time frame. LPA arrived at the facility at 09:40AM and met with Business Office Manager (BOM) Edie Cano. Executive Director Michael Owens arrived during the visit. Entrance interview conducted.

LPA Dulek had previously conducted a complaint visit on 05/08/2024 and issued a POC to the facility for not issuing a refund, per the resident's Admission Agreement. During today's visit, LPA spoke with Business Office Manager at 09:43AM, and LPA conducted a brief physical plant tour. BOM reviewed the facility records and indicated there is a check # associated with the refund related to the POC issued and the check was cut on 05/20/2024, however the POC was due on 05/15/2024. Additionally, the check that was cut on 05/20/2024 is in the incorrect amount and there is an additional $561.25 owed.

A civil penalty in the amount of $900 was issued during today's visit. (See LIC 421 dated 05/24/2024, located under the LIC 9099 dated 05/08/2024).

Exit interview was conducted with Business Office Manager and Executive Director. Appeal rights were discussed. A copy of the report was provided.