Facility Evaluation Report

LPA K. Kaur conducted an unannounced complaint inspection on this day to open the complaint investigation. LPA met with Administrator and stated the purpose of the visit.

During the course of the investigation, LPA reviewed records for R1. The Needs and Services Plan for R1 was incomplete.

Deficiency is being cited based on records review in accordance with the CCR Title 22 on the attached 809-D.

An exit interview was conducted with Licensee Representative Anthony Barbato and a copy of this report with appeal rights will be provided to the licensee via email. A read receipt confirms the Licensee received these documents.