Facility Evaluation Report

On 5/8/24 Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct a case management visit. LPA met with Program Director Irma Torres to review an incident that on 4/22/24 with C1.

LPA collected the following documents while at the facility: C1's IPP from 4/2023, facility incident report for the incident regarding C1 on 4/22/24, and C1's admission agreement.

LPA is requesting recent training prior to 4/22/24 for clients with wheelchairs, April's staff schedule, staff roster with contact information, C1's current physician report, C1's needs and service plan, and client roster for 4/22/24. Documents are due by 4/15/24.

No deficiencies were noted at this time. An unannounced follow-up case management visit will be conducted at a later date.

Exit interview was conducted and a copy of this report LIC809 was provided to Program Director Irma Torres.