Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit for the purpose of conducting a Plan of Correction inspection for six deficiencies issued on May 20, 2025 during the required annual inspection. LPA was greeted and granted entry by staff. LPA met with House Manager Rudy Ignacio and explained the purpose of the visit.

LPA toured the facility to check that the deficiencies have been corrected. LPA observed the carbon monoxide detector operational at the facility, LPA observed the toxins and chemicals are locked and made inaccessible to residents in care, LPA observed the medication in the fridge is locked and made inaccessible to residents in care. LPA observed PRN medication lists for residents and CPR certifications for staff. LPA observed a work order request for Corky’s pest control to provide services to the facility by Friday June 6, 2025.

Based on today’s observations five out of the six citations have been fulfilled with one in progress by the Plan of Correction due date of May 31, 2025 thus clearing the Type A deficiencies CCR 87309(a), 87465(h)(2), 87465(c)(1) and HSC 1569.311, 1569.618(c)(3).

An interview was conducted with House Manager Rudy Ignacio and a copy of this report was provided at the facility.