Facility Evaluation Report

On 10/01/21, Licensing Program Analyst (LPA), Mohamed Filouane, conducted an unannounced case management visit to follow up on a previous facility staff member who can no longer be on facility grounds. At approximately 10:55 AM, LPA met with staff member, Ann Vergara, at the entrance of the facility and explained the purpose of the visit. LPA was sanitized following the facility's entrance health and safety procedures. LPA also had his temperature checked and logged and then signed into the facility.

LPA Filouane toured with the facility with the staff member. LPA verified that the previous staff member in question has not been on facility grounds since 09/23/21 and was not working on 10/1/21. LPA toured the facility staff room in the and the facility's backyard. LPA did not observe the previous facility staff member on facility grounds.

Exit interview was conducted with staff member Ann Vergara and a copy of this report was emailed to the Administrator.