Facility Evaluation Report

Unannounced plan of correction visit made out to this facility on 05/05/2022 by Licensing Program Analysts (LPAs) Charlie Yang and Arielle Pascua and were met by the facility live-in caregiver Avinesh Ram who was briefly interviewed.

Current census was 3 residents of which one resident was still at their respectable day program.

The purpose of this visit was to follow up on the deficiencies that were cited on a prior visit.

The following items were reviewed to make sure that they were brought into compliance:

Facility representative stated that proof of the transfer clearance will be completed and submitted into CCL for review by this LPA.

Facility representative stated the backyard area will be cleaned and cleared of any weeds and unused items so that all walkways and paths are kept free and clear at all times. A statement of correction, with photos of cleaned and cleared backyard area, to be completed and submitted into CCL.

Proof of correction letters were printed and a copy was left with the facility caregiver at this time.

There were no deficiencies observed or cited during today's plan of correction visit.