Facility Evaluation Report

Licensing Program Analyst, David Roman (LPA D. Roman) conducted an unannounced case management visit to check on the health and safety of residents in care. LPA D. Roman gained access to the facility, identified himself, and met with Receptionist, Edward Nunez to discuss the purpose of today's visit. LPA D. Roman met with Temporary Manager, Robert Centoria.

LPA D. Roman's visit consisted of briefly speaking with residents concerning their health and safety, touring the bottom and top floor of the facility, and obtaining additional information about the residents care. LPA D. Roman did not observe any immediate health and/or safety violations and after speaking with residents did not receive any complaints about their health. A tour of the kitchen area was also completed in which there was sufficient food for residents.

An exit interview was conducted with Receptionist, Edward Nunez, to which a copy of this report along with Licensee/Appeal Rights was provided to them whose signature below confirms receipt of this report and their rights.