Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 03/24/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated representative Mary Baldwin. A brief interview was conducted with the facility designated representative 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 03/09/2026. This visit was to follow up on the Plan of Correction that was due.

The following deficiencies were observed and cited on 03/09/2026:

Staff responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross.

The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

The licensee shall ensure that a separate, complete, and current record is maintained in the facility for each client.

Plan of Correction clearance letter was printed and a copy was provided to the facility designated representative at this time.

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