Reference check·May 12, 2022

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced collateral visit to the facility to conduct interviews. LPA Lopez identified herself, and stated the purpose of the visit with Executive Director, Angela Scott-Kapiloff. During the visit, LPA Lopez interviewed residents and staff, and requested and obtained 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 01/16) was provided to Executive Director, Angela Scott-Kapiloff, and Evergreen Director, Jael W. Sanbrano, at the conclusion of the visit. The signature below confirms the receipt of the documents.