Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct an annual licensing inspection. LPA identified herself to Caregiver Julita Renojo and explained the purpose of the visit. The facility is licensed to serve ten (10) clients of whom must be ambulatory.

During today’s visit, LPA Correia, conducted staff, client, and facility records reviews. LPA observed required postings. An overall inspection of the facility began today. However, due to time constraints LPA was unable to complete the visit and will return later to conduct the remaining portion of this inspection.

No deficiencies were cited during today's visit. This report was discussed with Caregiver Renojo. A copy of the report and License Rights (01/2016) will be provided at the conclusion of the visit, and signature on this form acknowledges receipt of the rights and a copy of this report.