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25 | Licensing Program Analysts (LPAs) Marcela Yanez and Simi Rai conducted an unannounced Case Management- Deficiencies visit for deficiencies cited on 11/08/2024. LPAs met with Administrator (ADM) Ana Luisa Mejia and stated the purpose of the visit. During today's visit, LPAs observed 4 staff and 5 residents at the facility.
On 11/08/2024, LPA Yanez conducted an Annual Inspection visit and cited 2 deficiencies for the facility for creating an additional room without notifying the Department prior to construction and the screen door on the two sliding doors facing the backyard was in disrepair. The following regulations were cited: 80086(a) Prior to construction or alterations, all licensees shall notify the licensing agency of the proposed change. 80088(b) All window screens shall be in good repair and be free of insects, dirt and other debris.
On 11/08/2024, Plan of Correction due date was 11/13/2024 was extended to the new Plan of Correction (POC) due date which was approved by the Department for 12/01/2024.
On 12/04/2024, LPA Yanez received the POC from Administrator via email. The POC email included photos of the demolished additional room, the ramp repairs and the repaired screen doors.
During today's visit, LPAs observed the ramp repairs were completed, the screen doors were repaired and the additional room was demolished.
This POC was submitted 2 days after the POC due date of 12/01/2024. During todays visit POC was cleared and a Letter of Deficiency Citations Cleared was provided.
A civil penalty is being assessed for the amount of $400 for the failure to correct deficiency by the due date 12/01/2024. Please see LIC421FC.
This report was reviewed with Administrator Ana Luisa Mejia and a copy of the report was provided. |