Facility Evaluation Report

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced visit to discuss a deficiency discovered during a complaint investigation. The LPA identified himself and discussed the purpose of the visit with Program Director Lisa Du.

During the investigation, interviews and review of records, including the facility's absentee notification plan, revealed the facility did not meet reporting requirements. The facility did not submit an Unusual Incident Report for Resident # 1's (R1) AWOL on 07/19/2024, to the Department. This deficiency was cited in an LIC 809D and a Plan of Correction was jointly formulated with Program Director Lisa Du.

An exit interview was conducted with Program Director Lisa Du, to whom a copy of this report, LIC 809D, LIC 811, and Licensee's Rights (LIC 9058), were provided via email. An email read receipt confirms the documents were received by Lisa Du.