Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Case Management Visit stemming from Death Report dated 04/20/23. LPA was met by Administrator Ruby Garcia and explained the purpose of the visit.

LPA requested and obtained a copy of Personnel Roster, Resident Roster, C1 face sheet, C1 Admissions agreement, and any other pertinent documents related to this visit. LPA is requesting Death Certificate for C1 when it becomes available.

LPA will review these documents and may return should further questions arise. No deficiencies or health and safety violations were observed at this time.

Exit interview was conducted and a copy of this report will be emailed to Administrator Ruby Garcia due to printer problems.