Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo and Licensing Program Manager (LPM) Victoria Bertozzi arrived unannounced to conduct a case management to follow up on facility's current lack of certified Administrator. Facility currently has 46 residents in care.

At approximately 1:30pm LPA, LPM, and Executive Director, Morgan Holien discussed proposed Administrator, John Beltz and additional items that are still needed. Executive Director agrees to provide the following by December 18, 2023:

Statement explaining how proposed Administrator will meet regulation 87405 Administrator Qualifications and Duties while working eight in person hours per week as identified in the LIC500 Personnel Record.

Board Resolution designating Administrator

LPA will follow up with Administrator Certification Unit regarding Executive Director's Administrator Certificate.