Correction check·September 10, 2025

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced POC visit for deficiencies cited during the facility annual continuation inspection on 9/3/2025. LPA met with ADM Marsha Belleza and stated the purpose of the visit. The facility was cited the following Type A deficiencies on September 3, 2025: 1569.95(c) Emergency Plans, POC due date September 4, 2025 87458(a) Medical Assessment, POC due date September 4, 2025 87355(c) Criminal Record Clearance, POC due date September 4, 2025 87411(c)(1) Personnel Requirements, POC due date September 4, 2025 As of today's visit, the ADM inadvertently did not submit all POC documentation per the Plan of Correction (POC). Per ADM the additional POC documentation was filed away by lead staff, who is not working today. LPA cleared 1 deficiency 87355(c) Criminal Record Clearance and a letter of Deficiency Citations Cleared provided to ADM. During visit, ADM requested an extension to September 12, 2025. LPA and ADM collaborated that the remaining POCs have to be submitted on or before the POC due date. If ADM requires additional time, ADM is to communicate with LPA or CCLD. No deficiencies cited per California Code of Regulations Title 22. An exit interview was conducted with ADM and signed copy of this report was provided.