Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection today. Upon arrival, a female Daisy Consulta (DC) opened the door for LPA. DC stated there is no resident in facility.

LPA toured the facility inside and out with DC. Living room, family room, dining room, kitchen, and garage were observed. Two restrooms were observed in the facility. 1 office, 3 bedrooms, 1 storage room and 1 master bedroom with a restroom inside were observed.

No resident or staff was observed in facility and in the backyard.

LPA talked to Administrator (ADM Shirley Richards on the phone. ADM stated she cannot get back to the facility at this time. ADM authorized DC to sign the report. LPA suggested ADM to close the facility if the facility is in non operational status.

Exit interview was conducted with DC. This report was provided to DC for signature. A copy of the report was provided to DC.