1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Sumayya Habeebulla made a Plan of Correction (POC) visit this date to ensure deficiencies cited during Annual Inspection conducted on 04/08/22. were corrected, LPA toured the facility, took census and met with the Director, Tara Martinez, who was informed of the reason for the premise visit.
On 04/08/2022 during an annual inspection the facility was cited for the following deficiencies and the corrections were not submitted by the POC due date of 05/09/2022.. LPA emailed the director on 05/09/2022 alerting her of the pending POCs. LPA did not receive any response from the Director and therefore LPA followed up with a phone call on 05/16/2022 and left a voicemail requesting the Director to call back in order to work on an extension date for the POCs. LPA did not receive any response. Deficiencies that are still pending are as follows -
1. MMR & TDAP for S3 - Still Pending
2. Mandated Reporter for S1 - Received during visit
An exit interview was conducted, and a copy of this report was provided to Tara Martinez (Director). A Notice of Site Visit was issued and the Licensee understands that it must remain posted for 30 days.
|