Facility Evaluation Report

LPA Jensen arrived at facility unannounced to conduct a Plan of Correction visit related to deficiencies that were cited on 10/17/23 during the course of a quarterly Health and Safety visit. LPA Jensen met with care provider Eleanor and explained the purpose of today's visit. Marilou Oliver is the acting Administrator due to the Licensee/Administrator of record currently being out of the country.

On 10/17/23 the Licensee was cited for California Code of Regulations (CCR) 87208(a)(7)(A) - Plan of Operation. A plan of correction was received timely.

The Licensee submitted a sketch and attestation that the usage of each room is accurately depicted by the sketch and corresponds to the original fire clearance granted.

This report amends a report form 10/31/23 wherein a civil penalty was erroneously issued for failure to correct a deficiency.

An exit interview was conducted. A copy of this report was provided.