Facility Evaluation Report

Licensing Program Analyst (LPA) Ramon Serrano, conducted an unannounced Case Management Visit regarding a previous incident. The facility file was reviewed prior to the visit. LPA met with Caregiver Cody Smith and discussed the purpose of the visit. All staff present have a current criminal record clearance.

LPA conducted a tour of the facility, both inside and outside. Two clients were present during the visit.

No deficiencies were cited or observed on this date.

An exit interview was conducted with Cody Smith. A copy of this report along with Licensee Rights was provided to Cody Smith whose signature below verifies receipt of these rights.