Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced case management visit. LPA Correia identified herself and met with Administrator Nunez.

Community Care Licensing received an incident report on August 6, 2024 regarding Client #1 (C1) who eloped from the facility on August 5, 2024.

During today's visit, LPA interviewed the facility Administrator Nunez and obtained copies of facility records, and conducted a brief tour. No deficiencies were cited during today’s visit.

An exit interview was conducted, and a copy of this report and the Licensee/Appeal Rights (LIC 9058 1/16) was provided to Administrator Nunez at the conclusion of the visit, and her signature on this form acknowledges receipt of the rights and a copy of this report.