Facility Evaluation Report

Licensing Program Analyst LPA conducted a Case Management to follow up on issues listed in NCC meeting. LPA was met by House Manager Diana Diaz and discussed the purpose of the visit. LPA Shawna Doucette, House Manager Diana Diaz and House Manager Liz Ramos began the tour at the front entrance of the facility.

Upon entry LPA observed new flooring in the facility. LPA observed a two day supply of perishable food however did not observe a seven day supply of non-perishable food.

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

Deficiencies are being cited 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.