Correction check·November 14, 2024

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced Plan of Correction (POC) visit to follow up on a citation that was issued on 10/26/24 during the facility's Annual Inspection. LPA met with Alodia Penas who assisted with the visit. On 10/26/24 the facility was cited for the following: 87204(a) - Limitations - Capacity and Ambulatory Status - (a) A licensee shall not operate a facility beyond the conditions and limitations specified on the license, including specification of the maximum number of persons who may receive services at any one time. An exception may be made in the case of catastrophic emergency when the licensing agency may make temporary exceptions to the approved capacity. During todays visit LPA observed Resident #1 to be residing in Room #3 which is not a designated room for their non-ambulatory status. Only Room #1 is designated for non-ambulatory. Civil penalties will be assessed during todays visit on the above citation in the amount of $400 for dates 11/10/24-11/13/24. Administrator Margie Isidro to relocate Resident #1 to room #3 and send a proof of correction by 11/17/2024. 87412(a)(11) - Personnel Records - (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 87411, Personnel Requirements - General. On 11/5/24 LPA received via email, a copy of Staff #2's Health Screening with negative TB result that was dated 2/29/2024. Proof of Correction (POC) is now cleared for the above citation. Exit interview conducted and a copy of this report was pro vided to Alodia Penas .