Reference check·April 11, 2022

Licensing Program Analyst (LPA) Marisela Garcia- Centeno made an unannounced collateral visit to the facility to conduct an interview with Resident #1 (R1). LPA met with Administrator, Angela Scott-Kapiloff and we discussed the reason for the visit. The Confidential Names Form LIC 811 was provided in order to identify R1 During today's visit LPA conducted an interview with R1. No deficiencies were observed during the visit. An exit interview was conducted with Administrator, Scott-Kapiloff to whom a copy of this report and the Licensee's Rights (LIC9058 01/16) were provided to via email. An email receipt confirms the acknowledgement of these documents.