Facility Evaluation Report

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit for the purpose of a Plan of Correction (POC) visit, based on the deficiency cited in LIC form 809D on 06/28/2022. LPA De Perio was greeted and granted entry into the facility by Administrator Esther Rey and explained the reason for the visit.

On 7/7/2022, AD failed to correct the following:

Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Inaccessible Items (Care of Persons with Dementia)

As of 7/15/2022, Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Inaccessible Items (Care of Persons with Dementia) has been CLEARED.

Licensee has secured the following items: vitamins and disinfectant supplies.

LPA De Perio observed vitamins, and disinfectant items locked and inaccessible to residents in care.

Licensee has complied with the terms of the POC.

Per 7/7/2022 visit, it was requested for AD to provide an updated LIC 500 to LPA by 07/14/2022. This has been COMPLETED and also provided during visit.

LPA De Perio conducted an exit interview with AD Rey and a copy of this report and Letter of Cleared Deficiency has been provided to the facility.