Facility Evaluation Report

On 12/08/2022 at 6:50PM, Licensing Program Analyst (LPA) L. Hall conducted a Component III Review, for the Pre-licensing Inspection which was conducted on this date. with Administrator/Licensee, Cynthia Chavez.

LPA presented Component III power point during visit and discussed the regulations embodied in the power point. LPA observed the participant gained knowledge about running and maintaining the facility in accordance with regulations.

A license has not yet been granted to this facility. Licensure is subject to final review and approval by the Centralized Applications Unit. Licensee is not to accept residents until notified by Community Care Licensing that the license has been approved.

Exit interview conduct and a copy of this report provided.