Facility Evaluation Report

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Plan of Correction visit regarding the deficiencies cited on 9-19-2024. LPA met with Administrator and explained the purpose of the visit.

Plan of Corrections was originally due Friday 10-3-2024 but has been extended to Wednesday 10-9-2024:

22 CCR 87411 Personnel Requirements - Licensee is to conduct an audit of facility roster and associate any additional staff needed to roster. Licensee is to inform LPA Yang of completion.

22 CCR 87211 Reporting Requirements - Licensee is to submit a statement of understanding of the reporting requirements of 22 CCR Section 87211.

LPA and Administrator discussed POC cannot be extended any further. Failure to correct will result to $100 per day civil penalty until POC received.

Exit interview and a copy of report was provided.