Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction clearance. LPA Lopez identified herself and was allowed entry by caregiver, Gammel Jana. LPA met with Administrator Cindy Chapari and discussed the purpose of the visit.

On 02/22/2025, the facility was issued a deficiency for electrical equipment defects. During today’s visit, LPA tested the electrical outlets and ensured that there were not defects when connecting a device. On 02/11/2025, the facility was also issued a deficiency for medication not being administered as prescribed. During today’s visit, LPA review the medications, and the facility had removed the pill boxes and medications are now being packaged by their respective pharmacy. The facility was also cited for water being too high per regulation. LPA checked the hot water and was within the allotted temperature per regulation. As such, the deficiencies have been corrected and are deemed cleared.

No additional deficiencies were observed during this case management visit. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator Chapari at the conclusion of the visit. The signature below confirms receipt of these documents.