Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Plan of Correction (POC) visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Omar Corona. LPA spoke Administrator Brenda Gonzalez via telephone.

The purpose of the visit was to verify if the deficiency issued on 1/9/2024 had been corrected. On 1/9/2024, the licensee was issued a deficiency for regulation 80068.3(a) with a correction due date of 2/6/2024. On 2/8/2024, Administrator requested an extension for POC due date. On 2/14/2024, the Administrator submitted proof of correction to the Department. Therefore, this deficiency is cleared.

During today’s visit, LPA Ruiz spoke with Administrator Brenda Gonzalez to confirm reason for POC due date extension. LPA approved a POC due date extension with the new due date being 2/16/2024 on an LIC178. LPA provided technical assistance and consultation regarding requesting POC extensions on an LIC9102TA.

An exit interview was conducted with Administrator Brenda Gonzalez via telephone and Caregiver Omar Corona, whose signature below confirms receipt of a copy of this report, the LIC178, the LIC9102TA, the letter of Deficiency Citations Cleared, and the Licensee Appeal Rights (LIC9058 01/16).