Reference check·June 9, 2023

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced collateral visit to the facility to obtain records and conduct staff interviews. LPA Lopez identified herself and was granted entry by Victoria Sumalinog, caregiver. Staff Jovy Fronda, caregiver was also present at the facility. LPA stated the purpose of the visit with Kimberly Withers, Licensee. During the visit, LPA Lopez interviewed staff #1 (S1), and Staff #2 (S2), and requested relevant documents. No deficiencies were observed during today's visit. An exit interview was conducted, and a copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) were provided to Victoria Sumalinog, caregiver, at the conclusion of the visit. The signature below confirms the receipt of the documents.