Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived announced to conduct the facility's pre-licensing continuation visit to complete the COMPONENT III due to technical difficulties on 08/22/2023. LPA met with Administrator Derek Cisna.

COMP III was reviewed and completed with the Administrator.

No issues noted during this pre-licensing inspection.

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 Administrator Derek Cisna and a copy of the report was provided.