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25 | On 01/08/2024, Licensing Program Analyst (LPA) Avelina Martinez arrived at facility unannounced to conduct a plan of correction (POC) visit. LPA met with Daisy Aguilar and Judy Rodriguez and Stephen Ratlift and explained the purpose of the visit.
Today's visit is in regards to citations issued on January 04, 2024. LPA Martinez observed the following deficiencies to be corrected by the Plan of Correction date.
1. Large glass window leaning up against residents patio's fence. Assisted Living (AL).
2. Exterior water heater storage room door is not in good repair (Door latch/lock is broken, as a result, storage door is open and water heater wires are exposed and made assessable to residents in care). AL side
3. Fence boards missing creating an unsafe and unsecured perimeter at the memory care resident exterior patio. Memory Care (MC)
4. Dementia unit interior exit door is not in good repair. This door opens to the exterior residents' patio and leads to the direct pathway of the exterior egress door. MC
5. Reassessments
6. maintenance and Operation
7. Personnel Requirements
8. Administrator Qualifications
Based upon 01/08/2024 inspection, LPA Martinez observed the deficiencies cited have been cleared. The Licensee complied with the terms of the plan of correction and corrected the deficiencies by plan of correction due date.
An exit interview was held, and a copy of this report was provided to the facility.
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