Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 06/16/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Maricel Yapo. A brief interview was conducted with the facility designated Administrator at this time.

The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 05/14/2025 and to follow up on the Plan of Correction. The following deficiencies were observed and cited on 05/14/2025:

Each resident's record shall contain at least the following information: Based on record review, the licensee did not comply with the section cited above in that [3] out of [5] facility resident files were missing required updated forms and documents which poses/posed a potential health, safety or personal rights risk to persons in care.

This facility did complete the Plan of Correction and provided all of the required forms and documents at this time.

Plan of Correction clearance letters were printed and copies were provided to the facility designated Administrator at this time.

There were no further deficiencies observed or cited during today's Plan of Correction visit.