Correction check·May 7, 2025

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on citations issued on 04/09/2025. LPA was greeted and granted entry into the facility and explained the reason for the visit. *Deficiency cited under Title 22 Regulation 87608(a)(5) pertaining to Postural Supports has been cleared. During today's visit, full rails have been removed. Licensee has complied with the POC. *Deficiency cited under Title 22 Regulation 87456(a)(2) pertaining to Pre-Appraisals has been cleared. Licensee provided proof of correction. Licensee has complied with the POC. *Deficiency cited under Title 22 Regulation 87608(a)(5) pertaining to Postural Supports has been cleared. During today's visit, Licensee obtained orders for half rails. Licensee has complied with the POC. LPA observed protective mechanisms on stove top as well as emergency packets for residents. *Licensee has been advised to maintain compliance in all previously cited items. Exit interview conducted and a copy of this report was left at the facility.