Facility Evaluation Report

An Informal Meeting was conducted today November 3, 2021 virtually via Microsoft Teams to discuss incident involving resident # 1(R1) and staff # 1(S1) occurring on November 7,2019. Present at today’s meeting were: Administrator, Aileen Adams,Licensee's, Rodante Canlas,and Delle Canlas, Staff, Tiffany Canlas, Licensing Program Manager, Joel Esquivel, and Licensing Program Analyst, David Cuevas.

During today’s conference, the following matter was discussed:

(2) Type A SUBSTANTIATED allegations, Visit conducted on 1/9/20 for:

Licensee's, Mr and Ms. Canlas were offered to participate in Technical Support Program (TSP) during todays informal meeting that is offered through DSS.

Licensee, accepted to participation to TSP program during this informal meeting, referral will be made by LPA Cuevas. During todays informal meeting Licensee, agreed to be in compliance to the items listed above and implement appropriate measures moving forward to avoid such occurrences.

An exit interview was conducted where this report was discussed and provided to the licensee. LPA emailed copy of the report for signature and requested the signed copy to be emailed back. Administrator agreed.