Facility Evaluation Report

Licensing Program Analysts (LPAs) Daiquiri Boyd and Shawna Doucette made an unannounced visit to the facility for the purpose of conducting a case management visit.

LPAs met with Administrator Basuny Eldaouch and explained the reason for the visit.

LPA asked for the updates and outcomes for three separate incident reports that had been submitted to licensing.

See separate LIC811 for confidential names.

Residents named in the reviewed reports had outcomes that were within regulation and no deficiencies were cited.

Administrator's signature confirms receipt of this document.