Facility Evaluation Report

On 02/23/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced to conduct a plan of correction visit. LPA met with administrator, Victor Burachek and explained the purpose of the visit.

LPA cited on 12/19/23 due to deficiencies found during annual inspection. Administrator did not send in plan of correction that was due on 01/19/24.

LPA and Administrator discussed R1's family member was notified to not bring over the counter medications to R1's room. During today's visit this deficiency was cleared. POC letter provided

Additionally, LPA conducted a file review of R2's file and observed that R2's LIC 602 is not updated. Administrator stated that there was no appointments available. Administer plans to take R2 next week to get an updated LIC602.

LPA will recite deficiencies. There were deficiencies found during today’s inspection. Deficiencies are cited from California Code of regulations, Title 22, and citations are listed on the attached LIC809D. If the deficiency is not corrected by the noted due date civil penalties may be assessed.

Exit interview conducted and appeal rights given.