Facility Evaluation Report

On this day at around 9:45 am, LPA L. Fontanilla arrived unannounced to conduct a case management visit to issue deficiencies in connection with additional information obtained during investigation of complaint # 15-AS-20241106143700. LPA met with Ignacio and explained the purpose of the visit. The Licensee was out for an appointment but was informed about the visit over the phone.

During the course of investigation, LPA conducted reviews and record reviews. The following deficiency was observed:

C4’s last visit to the dentist was done in 2013 and has not had any follow up visits since then.

Exit interview was conducted with Ignacio who was authorized by Shirley to sign the report. Appeal Rights was provided.