Facility Evaluation Report

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced case management visit.

LPA identified herself and was granted access to the facility by Jamie Duey- Toscano, Caregiver. LPA met with caregiver and discussed the purpose of the visit.

The visit was initiated due to a complaint from July of 2021. LPA toured the facility. No immediate health and/or safety concerns were observed during today’s visit. On July. 23, 2021 the facility provided LPA Holmes an Individual Program Plan (IPP) for Client 1 (C1) that was dated 2016. Recently LPA received an updated IPP for C1 that was dated 2022. The facility is being cited during today's visit due to not having an updated IPP for the client during the 2021 visit.

An exit interview was conducted with Jamie Duey- Toscano, Caregiver. A copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided to the facility at the conclusion of the visit. The signature below confirms receipt of these documents.