Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai arrived announced to conduct the facility's pre-licensing continuation visit. LPA met with Applicant, Madonna Dumantay. This location has an operating facility and LPA Rai observed 3 residents and 6 staff present at the facility.

LPA Rai went over COMPONENT III with applicant.

No issues noted during this pre-licensing inspection today.

LPA observed the facility is ready to be licensed. However, this report will be submitted to the Central Application Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required.

This report was reviewed with Applicant, Madonna Dumantay and a copy of the report was provided.