Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced case management visit to follow up on an incident report sent to licensing on 5/09/24. LPA introduced self and stated the purpose of the visit to Administrator, Noelle Clarke.

During today's visit, LPA performed a health and safety check, reviewed records and interviewed staff. Interview revealed that staff did not accord a client's safety during an outing event.

One deficiency was cited during this visit. An exit interview was conducted where this report LIC809, LIC809D and appeal rights were discussed and provided to Noelle Clarke.