Facility Evaluation Report

On 03/07/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced at the facility to conduct a Plan of Correction (POC) visit regarding the deficiencies LPA cited the facility on 02/15/24 for complaint Control Number 25-AS-20231128082121. LPA met with Administrator, Ruby Liu, and explained the purpose of the visit.

LPA explained to Administrator that failure to correct plan of correction by the given due date could and will result to $100 per day until corrected civil penalty.

During today's visit, Administrator informed LPA that they will submit the POC by the end of the day

· CCR 87468.1(a)(3) and 87468.1(a) (15) 87468.1 Personal Rights of Residents in All Facilities

As a result of today's inspection, civil penalties were assessed.

Exit interview conducted and a copy of the report and appeal rights provided.