Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced collateral visit to the facility. LPA Lopez identified herself and was granted entry by Efrin Cuaresma, House Manager. LPA stated the purpose of the visit with House Manager Cuaresma.

During the visit, LPA Lopez spoke with staff to aid in an open investigation involving a different licensed care facility. No deficiencies were observed during today's visit.

An exit interview was conducted, and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to Efrin Cuaresma, House Manager, at the conclusion of the visit. The signature below confirms the receipt of the documents.