Facility Evaluation Report

Licensing Program Analyst Manuel Monter and Marcella Tarin conducted a POC case management visit to clear deficiencies cited on September 25, 2025, during an annual inspection visit. LPA also citing the facility an additional deficiency that erroneously not cited during the previous visit.

The facility was cited the following deficiencies on September 25, 2025 with the following POC dates:

87307 Personal Accommodations and Services (d)(6)- Type A- POC due date September 26, 2025.

87468.2 Additional personal rights of residents in Privately Operated Facilities (a) (4) Type A- POC due date September 26, 2025.

87468.1 Personal Rights of Residents in All Facilities (a)(1)- Type A- POC due date September 26, 2025

87468.1 Personal Rights of Residents in All Facilities (a)(2) – Type A- POC due date September 26, 2025

87463 Reappraisals (a) – Type B- POC due date of October 2, 2025.

During todays visit, LPA's toured the facility side entrance and observed the locked gate no longer had a lock. LPA's requested ADM to review the camera's video footage. ADM provided LPA's access to the cameras and confirmed they are not recording audio.

LPA received plan of corrections by POC date. Deficiencies cleared during todays visit.