Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of a Plan of Correction (POC) visit based on deficiencies cited on 12/05/2023. LPA was greeted and granted entry into the facility and explained the reason for the visit.

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

Licensee has been advised to maintain all items in compliance with Title 22 regulations.

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