Facility Evaluation Report

Licensing Program Analyst (LPA) Julie Florio conducted a case management- incident inspection, on 3/20/25 at approximately 3:00pm, and met with Patti Ambriz, Administrator.

LPA is conducting a case management visit to obtain more information regarding an incident, dated 03/14/2025, involving Client 1 (C1), which was reported by Administrator. LPA reviewed C1's records and obtained copies of documents including a personnel roster/report. Facility made the appropriate notifications and has implemented preventative measures for C1 moving forward.

No deficiencies were cited during todays visit.

Exit interview was conducted with Administrator, whose signature on form confirms receipt of document.