Facility Evaluation Report

Licensing Program Analyst Manuel Monter conducted a POC case management visit to clear deficiencies cited on August 8 and August 18, 2025 and met with Lead Staff Robert Foranda S1. LPA explained the purpose of the visit.

The facility was cited the following Type A deficiencies on August 08, 2025

80065 Personnel Requirements (a) , POC due date August 09, 2025.

80078 Responsibility for Providing Care and Supervision (a), POC due Date August 9, 2025

The facility was cited the following Type A deficiency on August 18, 2025

80064 Administrator - Qualifications and Duties (a)(3), POC due date August 19, 2025

The Facility was cited the following Type B deficiencies on August 08, 2025

85079 Activities (a), POC due date August 15, 2025

80022 Plan of Operation (k), POC due date August 15, 2025.

LPA received plan of corrections for type A and Type B deficiencies by August 18, 2025. Deficiencies cleared during todays visit. POC cleared letter provided to ADM.

No deficiency was cited during todays visit. This report was reviewed with Lead Staff Robert Foronda. A copy of this report was provided.