Facility Evaluation Report

On July 3, 2025, Licensing Program Analyst (LPA) Murial Han conducted a plan of correction visit for the annual inspection that was conducted on June 17, 2025. LPA met with caregiver, Irma Perez and explained the purpose of today's visit. The administrator arrived and assisted with the visit.

During today's visit, LPA toured the common areas, garage, bath/shower room, dining room, living room, resident room, etc., reviewed plan of correction documents that were submitted by the administrator:

The following deficiencies , which were cited on 4/1/2025 are corrected:

- 87465(c)(3) Incidental Medical and Dental Care Services

- 87456(a)(2) Evaluation of Suitability for Admission

- 87618(b)(3)(B) Oxygen Administration - Gas and Liquid

- 87633(a)(1) Hospice Care for Terminally Ill Residents

- 87618(b)(3)(A) Oxygen Administration - Gas and Liquid

The following deficiencies are not corrected:

During today's visit, LPA observed staff #1 (S1) did not have a completed Criminal Record Clearance. According to S1, S1 started working at the facility since 7/1/2025 and the administrator stated that S1 was a reliever and was being trained at the facility.