Facility Evaluation Report

Licensing Program Analysts (LPA)’s Janira Arreola and Armando Perez, conducted an unannounced visit to the facility to conduct a Plan of Correction (POC) Visit. The purpose of this report is to document the POCs that were previously agreed upon. LPAs met with Staff, Mearlene Martin who was informed of the purpose of the visit. LPAs conducted a walk through, records review and interviews.

At the time of the visit there were (1) staff and (3) clients present. No immediate health or safety issues were observed.

The following deficiency were not corrected by the POC due date nor at the time of the visit. Civil Penalties are being assessed and will continue to accrue until correction has been submitted:

The facility was cited CCR Section 85066(b) for not having a personnel roster. The licensee agreed to send proof of personnel roster by POC due date 02/14/2025.

The facility was cited for 80088(e)(1) for hot water temperature not measuring within regulations. The temperature was measured at 138.5 F in the client bathroom. The POC was for the staff to send proof of water temperature within the required range by POC due date 02/12/2025.

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.