Inspection citations
32’23
67’24
19’25
50’26
168 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 21, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 9, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Jun 9, 2026 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Complaint |
| Jun 9, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 29, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 29, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Apr 29, 2026 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Apr 29, 2026 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Apr 14, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Apr 14, 2026 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 14, 2026 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Apr 14, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Apr 14, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Complaint |
| Mar 3, 2026 | E · potential | Respond appropriately to all alleged violations. | Complaint |
| Mar 3, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Mar 3, 2026 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 16, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 16, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Jan 16, 2026 | D · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Jan 16, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Jan 16, 2026 | E · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Jan 16, 2026 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Jan 16, 2026 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Jan 16, 2026 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Jan 16, 2026 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jan 16, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jan 16, 2026 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Jan 16, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Jan 16, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jan 16, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 16, 2026 | D · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Jan 16, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jan 16, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Jan 16, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 16, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Jan 16, 2026 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Jan 16, 2026 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Jan 16, 2026 | E · potential | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Routine |
| Jan 16, 2026 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Jan 16, 2026 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Jan 16, 2026 | K · harm | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Jan 16, 2026 | E · potential | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Routine |
| Jan 16, 2026 | E · potential | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Routine |
| Jan 16, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 16, 2026 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Jan 16, 2026 | E · potential | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Routine |
| Jan 16, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 16, 2026 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Jan 16, 2026 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Jan 16, 2026 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Sep 15, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 28, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 28, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jul 9, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jun 3, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jun 3, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Jun 3, 2025 | D · potential | Provide or get specialized rehabilitative services as required for a resident. | Complaint |
| Jun 3, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Apr 28, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Mar 22, 2025 | E · potential | Keep residents' personal and medical records private and confidential. | Complaint |
| Mar 22, 2025 | J · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Mar 22, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Mar 22, 2025 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Complaint |
| Mar 22, 2025 | J · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 22, 2025 | E · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Complaint |
| Mar 22, 2025 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 28, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jan 28, 2025 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Jan 16, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Dec 24, 2024 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Complaint |
| Dec 24, 2024 | D · potential | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Complaint |
| Dec 24, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Dec 24, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Dec 24, 2024 | D · potential | Ensure that residents are free from significant medication errors. | Complaint |
| Dec 18, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Oct 31, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Oct 31, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Oct 24, 2024 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Complaint |
| Oct 24, 2024 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Oct 11, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Oct 11, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 11, 2024 | D · potential | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Routine |
| Oct 11, 2024 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Oct 11, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Oct 11, 2024 | E · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Oct 11, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 11, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Oct 11, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Oct 11, 2024 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Oct 11, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Oct 11, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Oct 11, 2024 | E · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Oct 11, 2024 | E · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Oct 11, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 11, 2024 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Oct 11, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Oct 11, 2024 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Oct 11, 2024 | E · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Oct 11, 2024 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Oct 11, 2024 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Oct 11, 2024 | J · harm | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Oct 11, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 11, 2024 | E · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Oct 11, 2024 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Oct 11, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Oct 11, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 11, 2024 | E · potential | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Routine |
| Oct 11, 2024 | D · potential | Keep all essential equipment working safely. | Routine |
| Oct 11, 2024 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
| Sep 10, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Sep 10, 2024 | D · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| Aug 21, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 5, 2024 | D · potential | Ensure residents have reasonable access to and privacy in their use of communication methods. | Complaint |
| Aug 5, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 5, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Aug 5, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jul 18, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 7, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Jun 7, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jun 7, 2024 | J · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jun 7, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Jun 7, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jun 7, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jun 7, 2024 | E · potential | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Complaint |
| Jun 7, 2024 | E · potential | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Complaint |
| Jun 7, 2024 | C · minimal | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Complaint |
| Jun 7, 2024 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Apr 10, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 10, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 23, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 25, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Jan 25, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Jan 25, 2024 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jan 25, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jan 25, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 25, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Dec 4, 2023 | G · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Nov 14, 2023 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 25, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Oct 6, 2023 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Oct 6, 2023 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Oct 6, 2023 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 6, 2023 | E · potential | Ensure residents have reasonable access to and privacy in their use of communication methods. | Routine |
| Oct 6, 2023 | D · potential | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Routine |
| Oct 6, 2023 | E · potential | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Routine |
| Oct 6, 2023 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Oct 6, 2023 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Oct 6, 2023 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Oct 6, 2023 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Oct 6, 2023 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 6, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Oct 6, 2023 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Oct 6, 2023 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Oct 6, 2023 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Oct 6, 2023 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Oct 6, 2023 | D · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Routine |
| Oct 6, 2023 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Oct 6, 2023 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Oct 6, 2023 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Oct 6, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 6, 2023 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Oct 6, 2023 | D · potential | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Routine |
| Oct 6, 2023 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Oct 6, 2023 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Oct 6, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 6, 2023 | E · potential | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Routine |
| Oct 6, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 6, 2023 | E · potential | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Maclay Healthcare Center
12831 Maclay Street, Sylmar, CA 91342 · (818) 361-4455
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555583
- Certified beds
- 141
- Legal owner
- Maclay Healthcare LLC
- Part of
- Serrano Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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