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 | Unannounced Plan of Correction visit conducted on 05/05/2022 by Licensing Program Analysts (LPAs) Charlie Yang and Arielle Pascua who were met by the facility caregiver, Sharon Basaldua, and requested to go ahead and contact the facility designated Administrator, Esther Toliao, to inform her that CCL was present at this time. The facility designated Administrator arrived shortly thereafter to this facility.
Current census was 11 residents.
The purpose of this visit was to review the deficiencies cited on a prior visit conducted on 04/22/2022 with a plan of correction.
LPAs toured the facility and reviewed the deficiencies to make sure that they had been corrected and brought into compliance at this time.
Facility designated Administrator stated that a third party contractor will be secured with a plan to safely remove and replace the bathroom floor. A statement of correction, along with a copy of the contract for the floor replacement, will be completed and submitted into CCL by the due date of 04/29/2022.
Facility designated Administrator stated that repairs will be completed on the window screens to make sure that they do not have any tears or rips in them. Also the windows that were missing a window screen will be fitted with one as well. A statement of correction will be completed, along with a copy of the receipt for window screen repair/replacement, and submitted into CCL by the due date of 04/29/2022.
The plan of correction letter was completed and a copy left with the facility designated Administrator.
Facility designated Administrator stated that the roofing material will be removed from all exterior walkways. A statement of correction, along with pictures of the cleared walkways, will be completed and submitted into CCL by the due date of 04/29/2022.
There were no deficiencies observed or cited at this time. Exit Interview |