Facility Evaluation Report

At approximately 9:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Legal/Non-Compliance visit and met with Executive Director, Kimberly Humphrey and Health and Wellness Director, Florence Van Heusden.

LPA obtained copies of in-service training related to the below concerns:

Administrator and Designated Representatives

Exit interview conducted. Copy of report discussed and provided to Administrator/Executive Director. Signature on form confirms receipt of documents.