Facility Evaluation Report

At approximately 9:30AM, Licensing Program Analyst (LPA) Felias arrived unannounced to continue a Required 1 Year visit and met with Staff Member, Teresita Tuveria. Administrator, Justine Herrera, arrived during visit at approximately 9:50AM. Upon arrival, LPA was informed that there were 6 Residents in care and 2 staff members on-site.

At approximately 9:40AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPA reviewed 6 resident files and 6 resident medication records. Resident files were all found to be well organized, thorough and contained the required documentation. Medication was found to be centrally stored and secure.

LPA requested the following documents to update facility file:

Designation of Facility Responsibility (LIC 308)

Active and Current Administrator Certificate

Facility Documents to be submitted to Community Care Licensing (CCL) by due date of Thursday, 11/09/2023.