Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea made an unannounced visit for the purpose of conducting a Plan of Corrections Inspection for deficiencies issued on 04/15/2024 during the required annual inspection. LPA was greeted and granted entry by care giver Lan Nguyen. LPA discussed the purpose of the inspection with Assistant Administrator (AAD) Augustine Au, who arrived shortly after.

LPA Tea toured the facility to check deficiencies have been corrected with care giver Teotima Apostol. The toilet has been replaced with a brand new toilet, clearing the Type B deficiency CCR 80088(e)(3). LPA then went upstairs to the second floor of the facility and was shown the new evacuation chairs that were purchased recently. The purchase of the evacuation chairs clears the Type B deficiency HSC 1565(f)(1) issued from the annual inspection. LPA was shown records and certificates of staff training completed from online courses. Thus, clearing the Type B deficiency CCR 80022(e)(4), where documentation of staff training was met.

The Plan of Corrections has been fulfilled by the assigned POC due date of 04/29/2024 and the deficiencies have all been cleared.

An exit interview was conducted with Assistant Administrator Augustine Au and a copy of this report was provided via email.