Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Ruiz and Licensing Program Manager (LPM) Lizzette Tellez conducted an unannounced case management visit due to a request to change the facility capacity. LPA and LPM were greeted by, identified themselves to, and discussed the purpose of the visit with Licensee Kealoha Paule.

A Change of Capacity application was received by the Department on 11/16/2021, in which the licensee requested a decrease in capacity from six (6) to four (4) clients. The Fire Safety Inspection Request was approved by the local fire authority on December 16, 2021.

During today’s visit, LPA and LPM toured the facility and observed a client in care. The facility sketch was consistent with the current layout of the facility. No immediate health and/or safety concerns were observed.

The completed change of capacity request will be forwarded to management for final review and approval. An exit interview was conducted with Licensee Kealoha Paule, to whom a copy of this report and the Licensee Rights (LIC9058 01/16) were provided via email.