Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced Case Management - Legal/Non-compliance inspection and met with House Manager (HM) Annie Inciso.

The purpose of the visit is to ensure the facility is adhering to the Compliance Plan submitted to Community Care Licensing (CCL) office after a Non-Compliance Conference held on 12/03/2024. The case management of inspections will be conducted every 3 months for 2 years.

LPA reviewed and discussed the plan of correction for the deficiencies and the plan of operation the facility submitted for the NCC meeting with the HM.

LPA reviewed the appraisal needs and service plan of residents.

LPA toured the facility with HM. LPA checked the 3 door alarms of the facility and 2 moving detectors alarms outside the building.

LPA reviewed the facility staff training log. LPA reviewed the 15 minutes resident checking log.

Exit interview was conducted with HM. The report was provided to HM for signature. A copy of the report was provided to HM.