Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo conducted an unannounced case management – legal/non-compliance visit. The purpose of today’s visit is to ensure the facility is maintaining substantial compliance. Upon arrival, the LPA met with Executive Director (ED), Margie Veis and the reason for the visit was explained. The LPA focused today’s visit on ensuring records are in order and in compliance with Title 22 Regulations.

During today’s visit, the LPA conducted a records review of ten (10) resident files and ten (10) personnel files. The following was noted:

Resident files were reviewed for, but not limited to the following: signed admissions agreement, current medical assessment with TB results, consent for treatment form, and current needs and service plan. All files were complete.

Personnel files were reviewed for, but not limited to the following: personnel records, health assessment with TB results, criminal record clearances, first aid / cpr certifications, and the appropriate yearly training. All files were complete.

No deficiencies issued. Exit interview conducted. Report was reviewed and copy was issued.