Facility Evaluation Report

On 3/1/23 at 2:30 p.m. Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced. LPA met with Administrator Sister Lucinda Fonseca, and explained the reason for the visit.

On 2/21/23 LPA conducted an annual inspection. LPA forgot to have AD sign the LIC809 for the inspection. FAS specialist verified there was no signature in the representative box.

LPA explained the situation to AD and had AD sign LIC809 for annual inspection on 2/21/23 and today’s LIC809 for this visit.

LPA did not conduct a tour since the visit was only to obtain signature for the annual inspection report (LIC809).

Exit interview was conducted. Due to printer not having ink LIC809 from today and LIC809 from 2/21/23 were emailed to AD.