Correction check·November 21, 2022

On 11/21/2022, at 1:00PM, Licensing Program Analysts (LPAs) L. Hall and L. Holmes arrived unannounced to conduct proof of correction (POC) visit. LPA met with Merla Fernandez, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Edwin Liwanag and was given approval for Caregiver to sign documents. Facility has the following deficiencies that were not cleared : 87555(b)(32), LPA has not received picture of operable refrigerator in kitchen after annual inspection visit 11/3/2022 and POC date 11/10/2022. 87411(c)(1), LPA have not received updated first aid certificate for S2, after annual inspection visit 11/3/2022 and POC date 11/10/2022. Civil Penalties for 87555(b)(32) in the amount of $1,100 assessed immediately for the period of 11/11/2022 - 11/21/2022. Civil Penalties for 87411(c)(1) in the amount of $1,100 assessed immediately for the period of 11/11/2022 - 11/21/2022. Civil Penalties in the total amount of $2,200 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected. Exit interview conducted. A copy of this report, appeal rights provided and LIC421FC provided.