Facility Evaluation Report

Licensing Program Analyst (LPAs) Kimberly Lyman conducted an unannounced visit for the purpose of a Plan of Correction (POC) visit based on deficiencies cited on 01/08/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 87608(a)(5)(B) pertaining to Postural Supports has been cleared. Full bed rails have been removed. Licensee has complied with the terms of the POC.

Licensee received an advisory note on 01/08/2024. LPA observed the following:

All half rails have been moved to the top of the beds.

There is ample emergency water and canned goods.

Licensee has been advised to maintain all items in compliance with Title 22 regulations.

Exit interview conducted and a copy of this report was left at the facility.