Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced case management visit for a Health & Safety check in conjunction with complaint #

56-AS-20220429162510. LPA met with executive director (ED), Morgan Williams, who was explained the nature of the visit and granted entry to LPA.

LPA and ED toured the facility inside and out. LPA and ED observed seated residents in the dining hall and residents participating in the activities room. LPA and ED observed outdoor and indoor passageways were kept free of obstruction. During this visit, LPA did not observe imminent health & safety concerns.

A deficiency is being cited for reporting requirements. Refer to LIC-809D for deficiency. An exit interview was conducted where this report, LIC-809D, and appeal rights were discussed and provided to the ED Morgan Williams.