Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit to check on the health and safety of residents in care. LPA identified herself and was granted access to the facility by Thomas Arlington, caretaker. LPA met with caretaker Arlington and discussed the purpose of the visit. LPA spoke with Licensee Wendy Engle via mobile telephone.

The visit was initiated due to a self reported incident involving client #1, that was reported to Licensee on April 20, 2022. The incident was reported to Community Care Licensing (CCL) via form Special Incident Report, which was received by the Regional Office on April 22, 2022.

During today’s visit, LPA briefly spoke with staff and client, and requested and obtained relevant documents maintained by the facility. No immediate health and/or safety concerns were observed.

An exit interview was conducted with caretaker Arlington and Licensee Engle. A copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) was provided to the facility. The signature below confirms receipt of these documents.