Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia conducted an announced Case Management visit. LPA was met by Administrator Doehrer and Assistant Vice President of Residential Services (AVPRS) Lindahl and was granted entry into the facility. LPA discussed the purpose of the visit upon facility entry.

A Change of Capacity application was received by Community Care Licensing (CCL) on January 24, 2023, in which the Licensee requested a decrease in capacity from six (6) to four (4) clients. The Fire Safety Inspection Request, dated January 27, 2023, was approved by the local fire authority on February 13, 2023. The approval was received by Community Care Licensing on the following day, February 14, 2023.

During today's visit LPA, accompanied by Administrator Doehrer and AVPRS Lindahl, conducted a tour of the facility. During the tour, LPA observed no immediate health or safety concerns. LPA observed the facility sketch/floor plan to be consistent with the current layout and accommodations at the facility.

The completed change of capacity request will be forwarded to management for final review and approval. Approval notification to the Licensee will be made by Community Care Licensing, and a new license will be mailed to the Licensee after final approval.

This report was discussed with Administrator Doehrer and AVPRS Lindahl. A copy of this report (LIC 809) was provided to Administrator Doehrer at the conclusion of the visit.