Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 02/10/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person Debbie Peppy. A brief interview was conducted with the facility staff person at this time. This LPA requested that the facility staff person go ahead and contact the facility designated Administrator, Jessica Dizon, to inform her that CCL was present at this time.

The purpose of this visit was to follow up on the deficiencies that were cited from a prior complaint visit conducted on 12/19/2024. This visit was to follow up on the Plans of Correction that were due.

The following deficiencies were observed and cited on 12/19/2024:

The licensee shall provide care and supervision as necessary to meet the client's needs. This facility was found to be deficient as evidenced by the lack of oversight, communication, and proper documentation of the resident's medications which should have been taken on a routine and PRN basis as prescribed by the licensed medical professional.

This facility did complete the Plans 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 staff person at this time.

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