Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Plan of Correction (POC) visit regarding a deficiency that was cited on 4/15/25. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to caregiver Mila Flotildes. Administrator Jennifer Fernandez arrived later in the visit.

On 4/15/25 LPA cited a deficiency for the lack of a fireplace screen in the facility. The POC due date was set for 4/18/25. Licensee submitted proof of correction to LPA via email on 4/22/25 and did not communicate LPA prior to the POC due date for additional time.

As the Licensee failed to correct the deficiency and notify LPA by the due date, LPA conducted a POC visit to verify correction and to assess a Civil Penalty Violation for Failure to Correct. A Civil Penalty of $100.00 a day has been assessed from 4/19/25 to 4/22/25 for a total of $400.00.

An exit interview was conducted with Administrator Fernandez to whom a copy of this report, the POC Clearance letter, the LIC 421FC, and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.