Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola and Regional Manager Reyna Lacey met with the licensee, Mary Martin in office in order to follow up on Plan of Corrections (POCs) that were previously agreed upon. LPA conducted records review and interviews.

The following deficiency was corrected and POC was received:

A deficiency was cited for 85064(b) for not having a certified administrator, the licensee agreed to submit their renewal for Administrator’s certificate and designate a qualified administrator to the facility by the POC due date of 2/14/2025. Based on interview with licensee and record review of the Department's website pending renewal list for Administrator's Certificates, the licensee's renewal was received on 03/25/2025. Therefore, the POC has been met and the deficiency has been cleared.

A deficiency was cited for 87303(a) for facility pool with green opaque water half way full. The POC was to clean the pool and send proof by the POC due date of 02/14/2025. The licensee provided proof of the pool being serviced and emptied out by 03/31/2025. Therefore, the deficiency was cleared and POC was met.

An exit interview was conducted were a copy of this report and clearance letters were reviewed and provided to the Licensee, Mary Martin.