Facility Evaluation Report

Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility to conduct

case management visit in conjunction with complaint C ONTROL NUMBER 56-AS-20221222140837

During the course of the complaint investigation, information was obtained which revealed that the facility has not been reporting incidents as required by CCL. Discussion with the facility administrator revealed that she did not report incidents to CCL which occurred throughout the past 6 months for each occurrence that happened at the facility.

Exit interview conducted and a copy of this report LIC809 and LIC809-D copies were left with Keely Miller at the conclusion of the visit.