Facility Evaluation Report

Licensing Program Analyst (LPA) Renita Hall and Licensing Program Analyst Riza Alvarez conducted an

unannounced Case Management visit. LPA's met with Kim Stratman, Administrator , and we discussed the purpose

Today's visit is to follow up on the self reported death of Client 1 (R1 - See LIC 811 Confidential Names List).

R1 passed away at the hospital on 10/01/2022 LPA obtained additional information on this date.

In addition, LPA conducted a Health and Safety visit on clients in care. Staff present had a

current criminal record clearance. Clients observed by the LPA appeared appropriate for the

No deficiencies were cited or observed on this date.

The Licensee was provided a copy of her appeal rights (LIC 9058 03/22), and her signature on this form,

acknowledges receipt of these rights. An exit interview was conducted and a copy of this report was provided