Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to follow up on several incidents that occurred at the facility. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Manager Marianne Alfaro and Volunteer Lisa Vance.

During an unannounced visit to the facility, LPA was informed that three (3) clients were not present at the facility due to separate incidents to each of the three (3) clients. LPA reviewed the Department's received reports archive and was able to determine the Department had not received any notification from the facility of those events occurring. Staff and administrative interviews corroborated that notifications to the Department were not submitted by the facility.

During today's visit, LPA conducted file review and provided consultation with staff. LPA also consulted with Licensee/Administrator over the phone on reporting requirements.

A deficiency was cited during the visit for failure to meet reporting requirements. An exit interview was conducted with Manager Alfaro to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.