Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 12/19/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility live-in caregiver, Rosita Santos, who was briefly interviewed. This LPA requested that the facility caregiver go ahead and contact the facility designated Administrator, Maria Denton, to inform her that CCL was present at this time.

It was learned that the facility designated Administrator was unable to make it to today's Plan of Correction visit and allowed for the facility live-in caregiver, Rosita Santos, to go ahead and sign all of the documents related to CCL's visit at this time.

The purpose of this visit was to follow up on the plan of correction that was required from prior annual visit conducted on 11/17/2022 with the following deficiencies:

Based on observation, the licensee did not comply with the section cited above in that several window screens were missing from resident bedrooms which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in [1] out of [3] toilets reviewed showed that it was leaking water and was in need of repair which poses/posed a potential health, safety or personal rights risk to persons in care.

There were no deficiencies observed or cited during today's plan of correction visit.

Plan of correction clearance letter was printed and a copy was given to the facility live-in caregiver at this time.