Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman and William Vanegas conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 10/01/2024. LPA's were greeted and granted entry into the facility and explained the reason for the visit.

At 12:10PM LPA's toured the facility and observed the following:

Deficiency cited under Title 22 Regulation 87555(b)(8) pertaining to food quality has been cleared. LPA's observed food to be in good quality. Licensee has complied with the POC.

Deficiency cited under Title 22 Regulation 87465 (h)(2) pertaining to centrally stored medications has been cleared. LPA's observed medications are centrally stored and inaccessible to residents in care. Licensee has complied with the POC.

Deficiency cited under Title 22 Regulation 87303(e)(2) pertaining to water temperature has NOT been cleared. LPA's tested water temperature to be between 122-126.8 F degrees. Licensee has NOT complied with the POC. CIVIL PENALTY ASSESSED.

Deficiency cited under Title 22 Regulation 87303(a) pertaining to maintenance and operation has NOT been cleared. LPA's observed the wall in the jack and jill restroom is still in need of repair. Licensee has NOT complied with the POC. CIVIL PENALTY ASSESSED.

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