Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced visit to this facility to initiate an investigation of complaint number: 56-AS-20260114142838 . LPA met with Licensee, Yvonne Davis.

During today's visit, LPA reviewed facility records, and did a walk-through of the facility. LPA found the following issue:

Staff not submitting incident reports to the regional office.

This poses a potential health and safety risk to clients in care. Refer to LIC 809D for deficiency cited.

An exit interview was conducted where this report, LIC809, LIC809D, and appeal rights were discussed with and provided to Licensee, Yvonne Davis.