Correction check·April 5, 2022

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 03/21/2022. LPA was greeted and granted entry into the facility by Caregiver Red Santos and explained the reason for the visit. *Deficiency cited under Title 22 Regulation 87303(a) pertaining to Maintenance and Operation has been cleared. Licensee cleared noted items. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87468.2(a)(2) pertaining to Personal Rights has been cleared. Licensee removed camera in living room. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87405(a) pertaining to Administrator Qualifications has NOT been cleared. Licensee did not provide proof of correction. Licensee has NOT complied with the terms of the POC. CIVIL PENALTY ISSUED. *Deficiency cited under Title 22 Regulation 87468.2(a)(1) pertaining to Personal Rights has NOT been cleared. Licensee did not provide proof of correction. Licensee has NOT complied with the terms of the POC. CIVIL PENALTY ISSUED. Exit interview conducted and a copy of this report was left at the facility.