Facility Evaluation Report

On 5/17/22 at 9:00 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a case management - other. LPA explained reason for inspection and was granted entry by staff. Licensee (LIC) Susan Baal was contacted via telephone and advised she would not be able to come to the facility due to other scheduled appointment. LIC granted permission for staff to sign today's inspection report.

LPA returned resident (R1) and staff (S1) file obtained on 5/12/22 by LPA Lisa Salazar.

Exit interview conducted. A copy of this report was provided to caregiver John Clemeno, whose signature confirms receipt of this report.