Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an inspection and case management visit regarding incidents of resident R1, on 5/17/23, 5/27/23, 6/29/23. There were 2 residents at the time of visit, and 2 staff on site.

LPA observed the following: facility was clean, well-organized, and a comfortable temperature. Residents were clean and dressed appropriately, and socially engaged with staff and one another. LPA did not observe any behavioral issues.

Interviews were conducted with residents and staff.

LPA requested the following documents for R1: most recent physician report, current care plan.