Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Goldenberg and Rayshaun Nickolas arrived to the facility unannounced to conduct a Plan of Correction (POC) visit. On 03/15/2022 LPA issued a deficiency for a Fire Clearance violation, section cited 87202(a). The facility had failed to meet this requirement of the section cited as evidenced by LPA observation of a makeshift sleeping quarters located in the garage are of the facility. Licensee was to remove the discussed furniture from all areas of the facility not approved for sleeping quarters as designated in their approved fire clearance by POC due date of 01/16/2022. LPAs arrived to the facility on this date to determine if the POC had been completed. LPAs observed on this date that the correction has been made and that the plan of correction has been met.

This report was reviewed with and a copy was provided to the facility representative.