Correction check·February 13, 2025

On February 13, 2025 at 8:42 AM, Licensing Program Analysts (LPA), Kenneth Madrigal and Manuel Monter, conducted an unannounced Plan of Corrections (POC) visit and met with Bernellet C Taa, Administrator (ADM). On January 27, 2025, a case management Legal Non-Compliance was conducted and the following deficiencies were cited: 87305 Alterations to Existing Building or New Facilities (a) Prior to construction or alterations, all facilities shall obtain a building permit. 87412 Personnel Records (g) All personnel records shall be maintained at the facility and shall be available to the licensing agency for review. 87411 Personnel Requirements - General (c) (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. 87411 Personnel Requirements - General (f) All personnel, including the licensee and administrator, shall be in good health... verified by a health screening...signed by the examining physician... On February 3, 2025, the Department received the Plan of Corrections submitted by ADM. LPAs toured the facility inside and out. LPAs observed all partition walls removed from staff room, bedroom #3, and master bedroom. All of the deficiencies were cleared during visit. This report was reviewed with ADM and a copy of the report was provided to ADM.