Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on citations issued on 04/10/2024 and 04/24/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 87465(h)(2) pertaining to Centrally Stored Medications has been cleared. During today's visit, medications are secured in the medication closet. Licensee has complied with the POC.

*Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Care of Persons with Dementia has been cleared. During today's visit, supplements are secured. 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.