Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced visit to the facility in order to conduct an investigation into complaint #18-AS-20230217085412. This report was created to document deficiencies observed during the time of the visit. LPA met with the Administrator, Smilja Milosavljevic, who was informed of the purpose of the visit.

LPA also reviewed the file for Resident #1 (R1) and found that preplacement assessment was not conducted for the resident. LPA will document deficiency for this along with plan of correction.

An exit interview was conducted where this report along with LIC 809_D pages and appeal rights were reviewed and provided to Administrator, Smilja Milosavljevic.