Correction check·April 2, 2025

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 03/06/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator Carmen Achim arrived during the visit. Deficiency cited under Title 22 Regulation 87309(a) pertaining to Storage Space has been cleared. During the visit, LPA observed sharps are secured. Licensee has complied with the POC. Deficiency cited under Title 22 Regulation 8 7411(f ) pertaining to Personnel Requirements has been cleared. Licensee provided proof of TB test. Licensee has complied with the POC. Deficiency cited under Title 22 Regulation 87412(c) pertaining to Personnel Records has been cleared. Licensee provided proof of training in the staff file. Licensee has complied with the POC. LPA observed items on the advisory note given 03/06/2025 have been addressed. Exit interview conducted and a copy of this report was left at the facility.