Correction check·December 12, 2025

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct a plan of correction visit for deficiencies issued on December 9,2025. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Jenny Pham and discussed the purpose of the visit. LPA toured the facility and observed that the rodent droppings have been cleaned and new traps have been set. LPA observed a Terminix pest report dated December 10, 2025, where a Terminix service technician made a visit to the facility and treated areas where droppings were found. Thus clearing deficiency 87555(b)(27) . AD will schedule a follow up visit in January with Terminix and send to LPA by COB Monday December 15, 2025. LPA observed a fire drill in service training that was conducted on December 10, 2025 with facility staff. Thus clearing deficiency 1569.695(c) . LPA observed a medication policy created by AD and an in service conducted on said policy on December 12, 2025, with facility staff. Thus clearing deficiency 87465(c)(2) . LPA observed a completed physicians report for Resident #1 and a TB test dated December 11, 2025. Thus clearing deficiency 87458(a). Based on today's observations all citations given on December 9, 2025, have been cleared. An exit interview was conducted and a copy of this report along with clearance letters were left at the facility.