Facility Evaluation Report

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced case management visit in conjunction with complaint: 22-AS-20230503092050.

LPA De Perio explained reason for visit, was greeted and granted entry by Program Director (PD) Christina Khouie.

For this visit, LPA De Perio conducted a tour of the facility, reviewed records and conducted interviews.

During the tour of the facility, LPA De Perio observed that there are a total of 3 clients present.

Upon conducting the record reviews, LPA De Perio observed that per facility plan of operation, facility conducts room checks on clients every 15-30 minutes for 24-hours, and is documented via "Rounds Log", and also states that rooms must be unlocked, but does not specify if doors are to be closed or opened when clients sleep.

For this visit, LPA De Perio conducted interviews with staff and clients, and requested copies of records reviewed.

An exit interview was conducted with PD Khouie.

A copy of this report was provided and explained.