Facility Evaluation Report

On 09/18/2023, Licensing Program Analysts (LPAs) Arielle Pascua and Christina Valerio arrived to this facility unannounced to conduct a Plan of Correction (POC) visit. LPAs were greeted by Facility Designated Administrator, Norma Borges and explained the purpose of the visit.

Current census was 4. A brief interview with FDA Borges was conducted.

The purpose of this visit to follow up on the deficiencies cited conducted on 06/15/2023 and 06/29/2023. The department received a POC letter on 08/21/2023.

A civil penalty in the amount of $2,700 was assessed for violations of Section 80044(c) for the time between 07/25/2023-08/20/2023. This civil penalty was due to failure to correct the deficiency by the Plan of Correction date 06/16/2023.

A civil penalty in the amount of $5,400 was assessed for violations of 80044(a)(2) and 85064(j)(3) for the time between 7/25/2023-08/20/2023. This civil penalty was due to failure to correct the Plan of Correction by the POC date on 06/30/2023.

Plan of correction letters were generated and a copy was given to the facility at this time.

An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.