Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Debbie Palacios conducted a Plan of Correction (POC) visit. LPAs met with Staff, Marlene Martin in person and spoke with Licensee Mary Martin over the phone who were informed on the purpose of the visit. LPA conducted a walk through, records review, and interview.

LPAs met staff Marlene Martin who stated they did not have a key to the home. LPAs were able to look through the window and see there was no clients at home . The licensee and staff stated (1) client was out of the facility.

The facility was cited for California Code of Regulations (CCR) Section 85095.5(b) for not having an infection control plan for licensing review. The POC was to submit proof of Infection Control Plan by the POC due date of 05/02/2025. LPA spoke with the licensee and granted an extension to 05/05/2025. LPA spoke with the licensee over the phone on today's date who stated she would be sending the plan tomorrow 05/15/2025. Therefore, the POC has not been met, and civil penalties are being assessed in the amount of $100 per day for (10) days.

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 05/02/2025. LPA spoke with the licensee and granted an extension to 05/05/2025. LPA spoke with the licensee over the phone on today's date who stated she would be sending the plan tomorrow 05/15/2025. Therefore, the POC has not been met, and civil penalties are being assessed in the amount of $100 per day for (10) days.