Facility Evaluation Report

On 04/06/2022 at 2:20PM, Licensing Program Analysts (LPAs) T. White and R. Campbell conducted unannounced Legal/Non-Compliance visit at facility. LPA met with Licensee/Administrator, Eunice Ronquillo and explained the purpose of visit. The facility is on a three year probation and will have increased unannounced monitoring.

Fire Drills - 01/26/2022 Facility Sketch Review and Discussion

Emergency and Disaster Drills - 02/03/2022 Review Emergency Shut Off and Locations

Department of Social Services Survey Binder:

Current LIC 610-D Emergency Disaster Plan 04/06/2022

LIC 308 - Designation of Administrator - 04/06/2022

LIC 309 - Administrative Organization - 03/01/2021