Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Plan of Correction (POC) visit regarding a deficiency that was cited on March 6th, 2026. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to and Business Manager Selena Navarrette. Executive Director Scottie Geno arrived later during the visit.

On 3/6/26 LPA cited a deficiency for a staff member who had been working at the facility without their background clearance having been associated. The POC due date was set for March 13th, 2026. LPA did not receive POC items by agreed upon due date nor did the Licensee communicate to 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 for Failure to Correct. Executive Director Geno was able to provide POC items during the visit and LPA was able to clear the deficiency.

As POC was submitted to LPA later than the due date, a Civil Penalty of $100.00 a day has been assessed from 3/14/26 through today's date (3/19/26) for a total of $600.00

An exit interview was conducted with Executive Director Geno 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.