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 facility was cited for California Code of Regulations (CCR) Section 85095.5(b) for not having an infection control plan. The POC was to submit proof of Infection Control Plan by the POC due date of 02/17/2025. The POC has not been received by the LPA.

The facility was cited for CCR 80061(b) for not reporting incidents occurring to clients. The POC was to conduct an in-service on reporting requirements and submit proof by POC due date of 02/17/2025. The POC has not been received by the LPA.

The facility was cited for 80075(k)(1) for lose medication on the floor of a client room, The licensee agreed to conduct an in-service on medication administration and submit proof by POC due date 02/17/2025. The POC has not been received by the LPA.