Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Case Management visit to deliver an Amended Report for a visit conducted on December 14, 2022. LPA was greeted by, Caregiver, Leodivina Pan to whom she identified herself and discussed the purpose of the visit. All staff present have a current criminal record clearance.

During today's visit, LPA obtained Caregiver, Leodivina Pan, signature on the amended report LIC9099, LIC9099A, and LIC9099D dated 5/8/2024.

An exit interview was conducted and a copy of this report along with the Licensee's Rights (LIC9058 03/22) was provided to Caregiver, Leodivina Pan. Signature on this form confirms receipt of these documents.