Facility Evaluation Report

Licensing Program Analyst (LPA) Becky Mann arrived at the facility unannounced to conduct a Case Management Visit for health and safety. This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office the incident date of 02/04/2026. LPA was greeted by Assistant Administrator Kory Medina at the front door. LPA introduced self and stated purpose of the visit.

During today's visit, LPA discussed the incident and surrounding events with Kory Medina, Assistant Administrator . LPA did a health and safety check and reviewed client records.

No deficiencies were observed during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to Kory Medina, Assistant Administrator.