Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of conducting the Case Management visit. LPA was greeted and granted entry by North Executive Director Selene Lopez and explained the reason for the visit.

During today's visit, LPA interviewed three staff and obtained the following documentation for review: resident/ personnel rosters (for north/south buildings), memory care staff assignment, fingerprint clearance for Individual #1 (I1), face sheet, physician's report, appraisal, needs and services plan, and admission agreement. PD stated that the home care agency documentation for Resident #1 (R1) will be submitted to LPA by end of today's business day.

No deficiencies are being cited. An exit interview was conducted with North Executive Director Selene Lopez and Shores Program Director Danica Coronel, and a copy of this report was provided at exit.