101223 Personal Rights (a)(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
The CCC will submit in writing what additional steps they have taken to prevent similar incidents from reoccurring. Based on record review, the facility did not comply with the deficiency cited above which poses an immediate risk to the health, safety and or personal rights of children in care. Ana Tolentino NAME OF LICENSING PROGRAM MANAGER: Giovani Gonzalez NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/29/2026 I acknowledge receipt of this form and understand my appeal rights as explained and received.