Facility Evaluation Report

Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on December 5, 2025 during an annual inspection. LPA met with Administrator Ann Marie R Zarraga and explained the purpose of the visit.

The facility was cited the following Type A deficiencies on December 5, 2025

• 80087 Buildings and Grounds (c), POC due date December 6, 2025

The facility was cited the following Type B deficiencies on December 5, 2025.

• 80068.3 Modifications to Needs and Services Plan (a)

LPA received plan of corrections by POC date. Deficiencies cleared during todays visit. POC cleared letter provided to ADM.

No deficiency was cited during todays visit. This report was reviewed with Administrator Ann Marie R Zarraga.

(Due to technical issues with printer, this report was emailed to Administrator).