Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction (POC) regarding a deficiency that was cited on 8/4/26 . LPA identified herself and was granted entry by receptionist Angel. LPA stated the purpose of the visit and reviewed the basic elements of the visit with Executive Director Amber Rodgers.

On 8/4/26 the facility was issued a deficiency for accepting and/or retaining bedridden residents without having a fire clearance that allows to do so. A Plan Of Correction (POC) was developed on 8/4/26 between Community Care Licensing (CCL) and the facility, with a due date of 8/5/26.

On 08/06/2026, the Department issued a Civil Penalty Violation for Failure to Correct and submit a verifiable POC items by the due date.

During today’s visit LPA Lopez spoke with Executive Director and requested and obtained relevant documents pertinent to this visit. LPA received the facility’s POC documents during the visit. A review of POC documents is warranted prior to the POC clearance. There is no Civil Penalties being assessed during today’s visit.

It should be noted that LPA left the facility for approximately one hour.

The report was discussed, and an exit interview was conducted with Executive Director Amber Rodgers to whom a copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to the ED at the conclusion of the visit. The signature below confirms the receipt of these documents.