Correction check·March 14, 2024

On this day Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. made an unannounced Plan of Correction (POC) visit in conjunction with complaint control #22-AS-20240116114800 and citation issued on 01/25/2024. LPA was greeted and granted entry into the facility by Administrator (AD) Michael Adams and explained the reason for the visit. On 01/26/2024, AD failed to correct the following: Deficiency cited under Title 22 Regulation 87208 (a)(12) pertaining to Plan of Operation (The Infection Control Plan). As of 03/14/2024, Deficiency cited under Title 22 Regulation 87208 (a)(12) pertaining to Plan of Operation (The Infection Control Plan) has been CLEARED. Licensee has read regulation and sign a statement of understanding. Licensee has complied with the terms of the POC. LPA Ramirez conducted an exit interview with AD Adams and a copy of this report and Letter of Cleared Deficiency has been provided to the facility.