Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on citations issued on 05/08/2026. LPA was greeted and granted entry into the facility and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 87411(h) pertaining to Personnel Requirements has been cleared. Facility provided proof of correction. Licensee has complied with the POC.

*Licensee has been advised to maintain compliance in all previously cited items.

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