Facility Evaluation Report

Licensing Program Analysts (LPAs) Steve Chang and Manuel Monter conducted an unannounced Case Management visit, and met with Administrator (ADM) Xiuyen Chen and staff (S1).

LPAs interviewed staff (S1). S1 stated S1 was sent by an agency to work here from 10:00AM - 6:00PM for today.

LPAs toured the facility and backyard. S1 Opened one of the 2 extra rooms, but S1 did not have the key for the other one. of the 2 extra rooms was cleared, and no one lives inside. S1 stated he/she saw someone came in to move out some stuff from one of the 2 extra rooms.

ADM came in facility later after LPAs interviewed S1. ADM opened the 2 extra bedrooms for LPA to inspect. The 2 extra bedrooms are cleared, and no one lives in side. The 2 extra bedrooms are not part of the facility.

LPAs informed ADM to send the POCs on time. LPAs informed ADM to send the requests for extension of POC, if ADM cannot send the POCs by the deadline.

Exit interview was conducted with ADM. The repot was provided to ADM for signatures.