Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 01/30/2024. LPA was greeted and granted entry into the facility by CEO Concepcion Jimenez and explained the reason for the visit. Administrator Luis Gatan was present as well.

Deficiency cited under Title 22 Regulation 87307(a) pertaining to Maintenance and Operation has been cleared. During the visit, LPA observed the exit gate has been repaired. Licensee has complied with the POC.

Deficiency cited under Title 22 Regulation 87412(c) pertaining to Personnel Records has been cleared. Licensee provided proof of staff training. Licensee has complied with the POC.

LPA observed items on the advisory note given 01/30/2024 have been addressed.

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