Facility Evaluation Report

A follow-up meeting to a non-compliance conference was conducted today via Microsoft Teams. The purpose of this conference meeting was to address the facility's compliance following a non-compliance conference conducted on June 19, 2025 due to receiving 7 Type A citations and 23 substantiated complaint allegations since being licensed July 27, 2021. Present in the meeting was CCLD staff, including Licensing Program Manager Lauren Crocker and Licensing Program Analyst Michael Hood, and facility representatives, including the Administrator/Executive Director Pouya Ansari and Vice President of Operations Terry Ervin. The conference process was explained during this meeting.

Topics discussed during this meeting were:

· Facility's ongoing compliance since non-compliance conference conducted on June 19, 2025

· Result of assistance from Technical Support Program

The facility is doing the following to achieve continued and substantial compliance:

· Open communication between the facility and the Department regarding any future concerns to ensure ongoing compliance

Facility representatives were informed that LPA will continue increased monitoring at the facility to ensure ongoing compliance as deemed necessary. An exit interview was conducted and a copy of this report will be provided to the facility via email. A copy must be signed and returned to CCLD.