Correction check·August 24, 2023

Licensing Program Analyst (LPA) Celine De Perio 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 08/14/2023. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty, who informed administrator (AD) Scott Branson about visit. On 08/14/23, facility did not ensure that recertification was processed. This poses a potential health and safety risk to residents in care. *Deficiency cited under Title 22 Regulation 87407(e) pertaining to Administrator Recertification Requirements has NOT been cleared. Administrator has not begun the renewal process of recertification and did not provide proof to assigned LPA on or by the assigned and agreed upon date of 8/18/23. Licensee has NOT complied with the terms of the POC - Civil penalty has been assessed and issued for failure to comply with the POC. An exit interview was conducted with AD Branson. A copy of this report was provided and explained.