Facility Evaluation Report

Licensing Program Analysts (LPAs) Mary Rico and Eldin Serrano conducted an unannounced visit to the facility to verify clearance of Plan of Correction from visit on 09/17/2024. LPA Rico and Serrano met with Administrator John Bulter.

The following Plan of Correction (POC)s were cleared at the time of the visit:

The Licensee was cited on 09/17/2024 for 80097(a) Buildings and Grounds. During today's visit LPAs conducted a facility tour, the carpet was observed to be cleaned. Therefore, the POC was cleared at today’s visit.

The Licensee was cited on 9/17/2024 for 80069(b)(1) Client Medical Assessments. During today’s visit, the Licensee provided verification all three clients have a Physical Appointment on October 14, 2024. to obtain Medical Assessment. Therefore, the POC was cleared at today’s visit.

The Licensee was cited on 9/17/2024 for 80087(a)(1) Building and Grounds. During visit LPAs conducted a facility tour, the kitchen cabins were observed to be clean and free from insects. Therefore, the POC was cleared at today’s visit.

The Licensee was cited on 9/17/2024 for 80044(a) Inspection Authority of the Licensing Agency. During visit LPAs conducted a facility tour, the licensee allowed LPAs to enter the two upstairs bedroom. Therefore, the POC was cleared at today’s visit.