Facility Evaluation Report

Licensing Program Analyst LPA conducted a Case Management to follow up on issues listed in NCC meeting. LPA was met by Staff Diana Gamez and discussed the purpose of the visit. House Manager Diana Diaz responded to the facility to assist with the inspection. LPA and House Manager Diana Diaz began the tour at the front entrance/office of the facility.

LPA Shawna Doucette and House Manager toured the facility. LPA observed there not to be a two day supply of perishable food and seven day supply of non-perishable food. LPA interviewed staff and residents.

LPA reviewed resident records and staff records. Facility has age exceptions for all residents in care that require an exception.

Deficiencies are being cited based on LPA's observation, interviews conducted, and record review in accordance with the CCR Title 22. See LIC 809D.

An exit interview was conducted with House Manager Diana Diaz and a copy of this report with Plans of Corrections and appeal rights was provided to Licensee Jason Johnson.