Facility Evaluation Report

On 06/30/2026, Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to this facility to conduct a plan of correction visit.

The following deficiencies, initially cited during a visit on 05/28/2026, have been cleared:

Section Cited: 80020(a) Date Due: 05/29/2026 . Plan of Correction: The facility will replace or repair the smoke detector by the POC date and summit the work order or receipt for the work completed to the department by the close of business on the POC date 5/29/26. Corrections: Cleared by Visit Clearance Date: 06/30/2026

Section Cited: 80072(a)1-3 Due: 06/11/2026. Plan of Correction: The facility has identified and made corrections to the areas of concern and will send pictures or documentation to show compliance with the items identified in the report. Corrections: Cleared By Visit Clearance Date: 06/30/2026

Section Cited: 85076(a-d) Date Due: 06/11/2026. Plan of Correction: The facility has addressed some of the items in the report, the facility will continue to review and adjust the meal planning and overall food service delivery.Corrections: Cleared By Visit Clearance Date: 06/30/2026

Section Cited: 80075(b) Date Due: 06/11/2026. Plan of Correction: The facility will complete an in-service training on 80075 to include all documentation requirements and medication delivery.

Corrections: Cleared By Visit Clearance Date:06/30/2026