Facility Evaluation Report

At 10:00am, Licensing Program Analysts (LPAs) Angela Panushkina, Perchui Milena Khurshudyan and Leslie Ngo-Castaneda, conducted a Case Management Visit in conjunction with the complaint #31-AS-20240312124123. LPAs met with the Administrator explained the reason for the visit.

At 10:49am, LPAs conducted visits to random resident rooms and conducted an interview with eight (8) out of fourteen (14) residents. Upon entry to three (3) out of six (6) rooms LPAs noticed the following:

Two (2) loose window screens and broken window locks in room #159

LPAs also observed a cracked window, in a hallway, across from room #154

Deficiencies cited on LIC9099-D, based on LPAs observation of the physical plant.

Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.