Correction check·September 21, 2023

Licensing Program Analyst (LPA) Pang Lee arrived at the facility on 09/20/2023 at 9:45 AM to conduct an unannounced Plan of Correction (POC) visit. LPA Lee met with administrator, Christine Torres. The current Census is 6 with 2 facility staff. LPA explained the purpose of the visit. The purpose of this visit is to follow-up on a plan of correction that was due 09/08/2023. During today's visit, LPA Lee reviewed staff and resident files previously cited on 08/24/2023 to see if POC have been corrected. LPA reviewed staff criminal record clearances and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. Based upon this inspection, LPA Lee observed the following: 1. Deficiency cited under Title 22 Regulation 87412(a ) has not been cleared. The license did not complied with the terms of the POC by POC due date. A POC letter was not generated and provided to the licensee. 2. Deficiency cited under Title 22 Regulation 87506(a) has not been cleared. The license did not complied with the terms of the POC by POC due date. A POC letter was not generated and provided to the licensee. The license did not complied with the terms of the POC by POC due date. As a result of this POCl visit, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809 D page. An exit interview was conducted, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.