Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 09/30/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated personnel Ednita Gardenhire who contacted the facility designated Administrator Julian Hawes to inform him that CCL was present at this time.

Brief interview was conducted with Ednita Gardenhire.

The purpose of this visit was to follow up on the plan of correction that was due from prior annual visit dated on 08/30/2022 with the following deficiencies:

Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premises.

The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

All window screens shall be in good repair and be free of insects, dirt and other debris.

As of the date of this visit on 09/30/2022 there has not been any submission of a plan of correction for the above cited deficiencies.

The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes.

Appeal Rights were printed and copy was given to facility personnel Ednita Gardenhire.