Facility Evaluation Report

On 12/14/2023, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced to conduct a case management visit. LPA met with Administrator, Darius Stir, and explained the purpose of the visit.

During LPA's visit on 12/06/2023, it was discussed to submit LIC 624 regarding R1's hospitalization as LPA observed R1 being transported by Metro Fire. LPA has not receive the requested document.

Additionally, on 12/06/2023, LPA requested a copy of liability insurance from Administrator. LPA then was informed day prior to today's visit that facility does not have an active liability insurance. Administrator stated license was not received. LPA observed a copy of license was provided on 12/28/2022 by Adult and Senior Program Centralized Application Bureau.

During today's visit, LPA provided a physical copy to Administrator. Technical Support was offered and declined by Administrator.

Deficiencies cited. Please see LIC 809-D.

Exit interview and a copy of the report and appeal rights provided.