Ivy Park at Palos Verdes.

documents were received and reviewed Staff Roster, Resident Roster, Resident Alert Charting Logs, Shift Report (dated 10/01/25 through 10/14/25), Incident Reports for R1 (dated 09/17/25 and 09/18/25), copies of text messages from med techs, Resident Assessment, and Individualized Service Plan. The investigation revealed the following: Allegation: Staff does not ensure resident’s behavioral needs are being met. The allegation alleges that residents are expressing aggressive and inappropriate behavior, and the facility staff are not addressing it. During record review, LPA observed Incident Reports dated 09/17/2025 and 09/18/2025 regarding an incident that occurred between Resident R1 and staff where the resident was upset and yelling at the staff. According to Staff who witnessed the incident, reported that the resident did not threaten, intimidate, or touch the Staff, but was in the staff’s face expressing their frustration. LPA did observe a Physician’s Fax Report, dated 09/22/2025, that was sent to R1’s primary care physician (PCP) informing them of the incident and behavior. LPA reviewed Resident R1’s Physician’s Report, dated 01/09/2025, that address R1’s behavioral expression. During record review, LPA observed in R2’s Physician’s Reports, dated 07/23/2024 and 10/25/2023, that indicates R2 does not express inappropriate or aggressive behavior. LPA did observe in R2’s Charting Notes there were eleven (11) instances of confusion documented since 01/01/2025. LPA reviewed Resident R2’s Healthcare Provider Communication forms that indicate R2 is seen regularly by their physician, home health nurse, and physical therapist. LPA received and reviewed staff in-service logs for Behavior Expression, Redirection and Dementia vs. MCI conducted on 05/29/2025. LPA received and reviewed seven (7) staff Relias training that include Managing Challenging Behaviors, Psychosocial Needs, Communication, and Recognizing Change of Condition. During interviews with Staff S1-S7, were asked if management follow-up with incidents of behavioral expression, seven (7) out of seven (7) stated when it is reported that a resident is experiencing behavioral expression the residents Primary Care Physician and responsible party is notified. During an interview with S2 stated if a resident is exhibiting behavioral expression, they will request a urinalysis and/or psych evaluation when speaking with the PCP. During interviews with Residents R1-R8, were asked if staff address any change of condition/behavior exhibited by them or other residents, eight (8) out of eight (8) stated yes, staff address any changes they 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 see immediately. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . LPA did not observe or cite any deficiencies. An exit interview was conducted with Executive Director, Brenda Myers, and a copy of this report was provided.

On 07/24/25, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Business Office Director, Amber Lambert, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve 115 non-ambulatory residents aged 60 and over, of which 8 may be bedridden. The facility has an approved hospice waiver for 20. Physical Plant/Structure The facility is a five-story structure located in a commercial neighborhood. The ground floor is the car park and entrance, the first and second floors are Assisted Living, the third floor is Memory Care, and the fourth floor is Memory Care. There is a total of 37 Assisted Living units and 61 Memory Care units, each unit contains a bathroom. On the first floor there are 3 common bathrooms, beauty salon, 2 common areas with a TV, computer area, dining area, bistro area, industrial kitchen, storage rooms, laundry room, offices, and staff break room. The second floor consists of an activity room/theater room, bistro, wellness center, laundry room, staff offices, and storage rooms. The third and fourth floor consist of a kitchen, dining room, activity room, TV room, shaded outdoor patio, staff offices, storage room, and laundry room. During the tour, LPA did not observe any bodies of water on the premises. The outside patio/garden area has a shaded area with tables and chairs. The gates exiting the patio are egressed, and work properly. All outside walkways were observed to be clean, clear, and free of obstructions, debris, and hazards. All windows, screens, curtains, and blinds were observed to be in good repair and operate properly. Rooms LPA inspected eight (8) resident rooms, 117, 125, 204, 215, 304, 321, 403, and 412 and observed them to be clean and in good repair. LPAs observed the rooms have the required furniture including a bed, dresser, nightstand, chair, and storage space for personal belongings. Residents have the option to furnish 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 their room, or the facility has furniture available if residents require it. LPA observed the beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. Residents do have the option to use their personal linens, or the facility has a supply available. LPA observed an additional supply of linens in a storage room. All linens and mattresses were observed in good condition. All rooms were observed to have ample lighting. Bathrooms LPA observed all bathrooms to be operable and within Title 22 regulations. The toilet, facets, and shower work properly. The bathrooms were observed clean. The showers were observed with secured safety handrails, nonskid mats, and a shower chair. The showers were observed to be free of mold and mildew. LPA observed storage space for residents’ hygiene products. LPA observed an ample supply of towels and hygiene products available for residents or residents have the option to supply their own. The water temperature in rooms inspected and bathrooms in common areas measured between 108-degrees and 115.4-degrees Fahrenheit. Kitchen LPAs observed the industrial kitchen to be clean and sanitary during the time of visit. LPA observed all appliances to be operable and in good repair. LPA observed an ample supply of cookware, dishware, and cutlery. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods. All foods were observed properly dated, labeled, packaged, and stored. The freezer temperature measured 0-degrees Fahrenheit, and the refrigerator temperature measured 45-degrees Fahrenheit. LPA observed knives and sharps to be secured and are inaccessible to residents. LPA observed a menu posted in the dining room. The menu and kitchen were last reviewed and inspected by a dietitian on 06/25/2025. The third and fourth floor kitchens were observed to be clean and sanitary. LPA observed a supply of snacks and drinks available for residents at any time LPA observed cleaning supplies and sharps to be secured in a locked storage room and are inaccessible to residents. All trash cans were observed with tight fitting covers. Common Rooms LPA observed the facility was appropriately furnished during the time of the visit. LPA observed all common rooms to have ample seating to accommodate residents. LPAs observed all dining rooms to have ample seating to accommodate residents. In the activity room, LPA observed arts, crafts, games, puzzles, and reading material available for residents. LPA observed a daily and monthly activity schedule. All walkways, hallways, and stairs in the facility were observed to be clean, clear, and free of hazards and obstructions. The facility was kept at a comfortable temperature of 72-degrees Fahrenheit. All rooms and hallways were observed to have ample lighting. Files LPAs observed resident files secured in the locked wellness room and are inaccessible to residents. LPA reviewed the files for eight (8) residents and observed they have the required documents. The staff files are secured in the business office and are inaccessible to residents. LPA reviewed the file for the 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 the Administrator and six (6) staff and observed they have the required documents, certification, clearance, and training. LPA Observed the administrators Administrator Certificate is valid till 08/02/2025. LPA informed Business Office Manager that Licensing fees are due on 07/24/2025 and provided the PIN. Safety LPA obseved smoke detectors on each floor and carbon monoxide detectors in each resident unit and found them to be operable. When smoke detectors are triggered they close. LPA observed multiple fully charged fire extinguisher last serviced on 12/03/2024, throughout the facility. The last Fire Prevention Inspection was conducted on 05/07/2025. The last emergency drill was conducted on 06/27/2025. LPA observed evacuation chairs at each staircase. The facility has a working landline telephone. LPA observed the facility’s Emergency and Disaster Plan posted and last updated on 03/31/2025. LPA observed all required posting, posted throughout the facility. LPA received and reviewed a copy of the liability insurance through Acord valid till 05/01/2026. Medications LPA observed medications secured in locked medication carts, secured in locked medication rooms. Medications are inaccessible to residents. LPA observed medications to be in their original packaging. LPA reviewed the medications and Medication Administration Record (MAR) for six (6) residents. LPA observed six (6) out of six (6) resident’s medications are consistent with properly documented records. LPA observed a fully stocked First Aid kit with a current manual, in the wellness room. LPA observed additional First Aid supply secured in a storage room. Infection Control LPA observed a sanitizing station upon entry, in the restrooms, and throughout the facility. LPA observed required infection control signs posted throughout the facility. LPA observed a 30-day supply of Personal Protective Equipment (PPE). During today's visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Business Office Director, Amber Lambert, and Regional Health Services Director, Jennifer Frost, and a copy of this report was provided.

The investigation revealed the following: Allegation: Licensee does not ensure that there are enough staff to meet the needs of residents in care. The allegation alleges that staff have left and there are not enough staff to meet the needs of residents. During the facility inspection, LPA observed four (4) care providers, and the Activity Director working in the fourth floor Memory Care Unit, four (4) care providers working in the third floor Memory Care Unit, and four (4) care providers working on the Assisted Living floors. Additionally, LPA observed two (2) medication technicians working. LPA observed staff assisting residents to the rest room, during activities, escorting to meals, and assisting with eating. During record review, LPA received and reviewed the facility’s Staff Schedule from April 27, 2025, through May 17, 2025. LPA observed on the AM shifts, 6 AM to 2 PM, there are 4 Care Providers in Assisted Living, 3 Care Providers in the Memory Care Unit on the 3rd floor, 4 Care Providers in the Memory Care Unit on the 4th floor, 2 Med Techs, and 1 LVN. LPA observed on the PM shifts, 2 PM to 10 PM, there are 4 Care Providers in Assisted Living, 3 Care Providers in the Memory Care Unit on the 3rd floor, 4 Care Providers in the Memory Care Unit on the 4th floor, 2 Med Techs, and 1 LVN. LPA observed on the NOC shifts, 10 PM to 6 PM, there are 2 Care Provider in Assisted Living, 2 Care Providers in Memory Care 3rd floor, 2 Care Providers in Memory Care 4th floor, and 1 Med Tech . The Health Service Director (S3), who is an LVN, is scheduled to work Sunday through Thursdays from 9 AM to 5 PM. During review of the Positions/Work Hours/Shifts, LPA observed The Health Service Director is on call and available 24/7. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 During interviews with Staff S1-S11, were asked if they feel there are enough staff on each shift to meet the needs of residents, eleven (11) out of eleven (11), stated yes there is enough staff to meet the needs of residents. Additionally, Staff S1-S11 were asked how many resident’s care providers are assigned to assist during their shift, ten (10) out of eleven (11) stated care providers are assigned five (5) to seven (7) residents to assist. During interviews with Residents R2-R8, were asked if they feel there is enough staff on each shift to assist residents with care needs, six (6) out of seven (7) stated yes, there is enough staff on each shift to assist residents with care needs. Additionally, during interviews with Residents R2-R8, were asked if they receive assistance when needed, seven (7) out of seven (7) stated yes, they received assistance when needed. During interviews with Resident’s R9 and R10’s Responsible Party W1 and W2, were asked if there is enough staff on each shift to meet the needs of residents, two (2) out of two (2) stated yes, there is enough staff to meet the needs of residents. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . During today’s visit, LPA did not observe or cite any deficiencies. An exit interview was conducted with Executive Director, Joe Saldana, and a copy of this report was provided.

On 05/01/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Case Management Visit to the facility listed above. LPA met with Administrator, Joe Saldana, and the purpose of the visit was explained. LPA was granted entry into the facility. LPA conducted a Case Management Visit to follow up on a Special Incident Report (SIR), submitted on 04/18/2025 and a Death Report submitted on 04/24/2025 for Resident R1. LPA received an incident report on 04/18/25, informing the department R1 had a witnessed fall on 04/12/25. R1 was transferred to Kaiser Harbor City Emergency Room for further evaluation and treatment due to hitting their head. LPA received a Death Report on 04/24/25 for R1 who passed on 04/22/25 while at Kaiser Harbor City Hospital. On the Death Report it was indicated under the Cause of Death that R1 was transferred on 04/12/24 due to a fall. Under the section Conditions Prior to or Contributing to Death, R1 had a hip surgery. During today’s visit, LPA inspected the fourth (4 th ) floor, checked all hallways, walkways, common rooms, and resident R1’s room. LPA observed all walkways and hallways to be clean, clear, and free of obstructions and hazards. All common 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 rooms and Resident R1’s room was observed clean, clear, and free of hazards. All rooms were observed with ample lighting. Additionally, during today’s visit, LPA interviewed Staff S1-S4, received, and reviewed documents pertinent to visit. LPA received and reviewed the following documents Staff Roster, Resident Roster, Resident Information Sheet, Admission Agreement, Physician’s Report (dated 02/15/25, 02/10/22, 05/28/21, and 10/06/20), Pre-Placement Appraisal Information (dated 12/10/20), Physician’s Fax Report of Fall (dated 04/13/25, 12/25/24, 08/23/24, 08/28/24, and 11/25/23). During interviews, R1 was considered a fall risk due to their diagnosis. Additionally, during interviews, LPA was informed R1’s passing was not related to the fall. During today’s visit, LPA did not observe any Health and Safety violations. An exit interview was conducted exit interview with Administrator, Joe Saldana, and a copy of this report was provided.

to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . Allegations: Facility did not provide copies of admission agreement. The complaint allegation alleges the family of R1 requested a copy of the admission agreement and despite the request they did not receive a copy. During record review, the department received and reviewed a copy of R1’s admission agreement. During interviews with Staff S1-S5, were asked if a responsible party asks for a copy of their residents Admission Agreement how long the process takes them to receive it, five (5) out of five (5) stated once it is confirmed the responsible party has the authority to receive documents it will be provided as soon as possible. Additionally, during interviews with Staff S1-S5, was asked if a copy of the admission agreement is provided to the resident or family once signed, five (5) out of five (5) stated they are provided with a copy at the time of signing. During interviews with Residents R2-R8, were asked if they received their admission agreement after signing, seven (7) out of seven (7) stated they received a copy of their Admission Agreement before moving in. Additionally, during interview with Residents R2-R8, were asked if they or their family have requested copies of documents from the facility and did not receive them, seven (7) out of seven (7) stated they had no issues or problems getting a copy of documents requested. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Allegation: Facility did not refund preadmission fees. The complaint allegation alleges resident R1 moved out of the facility due to staff being unable to provide proper care for them and they were not refunded a percentage of their preadmission fees for not being there a full 90-days. During record review, the department received and reviewed a copy of R1’s Admission Agreement that states on page 8, section E. Termination, 1. Termination by Resident, that states “If You move out without providing thirty (30) days’ notice, You will be responsible for the amount of you Monthly Fee through the date You move plus one full month’s fees.” Additionally, in the Admission Agreement on page 6, section B. Fees, 1. Community Fee, states “The length of stay, for purposes of determining the amount of the refund, begins on the day Monthly Fees starts and ends on the day Monthly Fees cease.” R1 moved out on 10/25/24 without providing a 30-day notice, per the Admission Agreement R1 is responsible for a full month’s fees from the date R1 moved out, which will be 11/23/24. During an interview with Staff S3, stated R1’s monthly fees started when R1 took possession of the room on 08/05/24 and monthly fees cease on 11/23/24. During an interview with Staff S2, they were asked if they met with R1’s family regarding R1’s care, S2 stated they had a phone conversation with R1’s daughter regarding 1 on 1 care for R1. Additionally, during interviews with S1 and S2, stated they did not tell R1's family they could not provide care. During the course of the investigation, the department was unable to find evidence 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated . During today's visit the department did not observe or cite any deficiencies. An exit interview was conducted with Regional Operations Specialist, Kathleen Olson, and a copy of this report was provided.

On 09/13/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced case management visit for an incident reported. LPA met with Regional Operations Specialist, Krystal Jenkins, and the purpose of today’s visit was explained. LPA conducted a case management due to two Special Incident Reports (SIR) regarding resident falls one submitted to Community Care Licensing (CCL) on 08/30/24 and the other on 09/02/24. Resident R1 experienced a fall on 08/27/24 resulting in a right distal radius other type extraarticular fracture. Resident R2 experienced a fall on 08/28/24 resulting in a right subtrochanteric fracture requiring surgery. During today’s visit, LPA toured the facility, checked all hallways, walkways, common rooms, and resident R1 and R2’s room. LPA observed all walkways and hallways to be clean, clear, and free of obstructions and hazards. All common rooms and Resident R1 and R2’s room was observed clean, clear, and free of hazards. All rooms was observed with ample lighting. LPA reviewed resident R1’s Physician’s Report (Exam on 12/27/23), Preplacement Appraisal Information, Needs and Service Plan (updated 05/3/23), hospital discharge paperwork, Internal Incident Report and Progress Notes. LPA observed 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 R1 has a minimal history of falls. When LPA conducted a follow-up call the Health Service Director, stated R1 does not have a fall plan. LPA reviewed resident R2’s Physician’s Report, Resident Care Assessment, MC Assessment, Progress Notes, and Internal Incident Report. When LPA conducted a follow-up call the Health Service Director, stated R2 is considered a fall risk due to their medical diagnosis. During today’s visit, LPA did not observe any Health and Safety violations. An exit interview was conducted exit interview with Regional Ops Specialist, Krystal Jenkins, and a copy of this report was provided.

On 07/02/24, Licensing Program Analysts (LPA), Wendy Gibbs and Perry Scott, conducted an announced pre-licensing visit to the facility listed above. LPAs met with Administrator, Kelley Koul, and the purpose of today’s visit was explained. There were 77 clients at the facility during the time of visit. An application was submitted to CCLD on 10/20/23 for a change of ownership. The facility is a Residential Care Facility for the Elderly serving residents aged 60 and over, of which 107 can be non-ambulatory and 8 can be bedridden. Physical Plant/Structure The facility is a five-story structure located in a commercial neighborhood. The ground floor is the parking and entrance, the first and second floors are Assisted Living, the third floor is Memory Care and the fourth floor is Memory Care. There is a total of 37 Assisted Living units and 61 Memory Care units, each unit contains a bathroom. On the first floor there are 3 common bathrooms, beauty salon, 2 common areas with a TV, computer room, dining room, bistro area, industrial kitchen, storage rooms, laundry room, offices, and staff break room. The second floor consist of an activity room/theater room, bistro, wellness center, laundry room, staff offices, and storage rooms. The third and fourth floor consist of a kitchen, dining room, activity room, TV room, shaded outdoor patio, staff offices, storage room, and laundry room. During the tour, LPA did not observe any bodies of water on the premises. The outside patio/garden area 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 has a shaded area with tables and chairs. The gates exiting the patio are egressed, and work properly. All outside walkways were observed to be clean, clear, and free of obstructions, debris, and hazards. All windows, screens, curtains, and blinds were observed to be in good repair and operate properly. Rooms LPAs inspected all resident rooms and observed them to be clean and in good repair. LPAs observed the rooms have the required furniture including a bed, dresser, nightstand, chair, and storage space for personal belongings. Residents have the option to furnish the rooms how they would like, or the facility has furniture available if residents need it. LPA observed the beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. Residents do have the option to use their personal linens, or the facility has a supply. LPAs observed an additional supply of linens in a storage room. All linens and mattress were observed in good condition. All rooms were observed to have ample lighting. Bathrooms LPAs observed all bathrooms to be operable and within Title 22 regulations. The toilet, facets, and shower work properly. The bathrooms were observed clean. The showers were observed with secured safety handrails, nonskid mats, and a shower chair. The showers were observed to be free of mold and mildew. LPA observed storage space for residents’ hygiene products. LPAs observed an ample supply of towels and hygiene products available for residents or residents have the option to supply their own. The water temperature measured between 113.3-degrees and 117.5-degrees Fahrenheit. Kitchen LPAs observed the industrial kitchen to be clean and sanitary during time of visit. LPAs observed all appliances to be operable and in good repair. LPA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 observed an ample supply of cookware, dishware, and cutleries. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods. All foods were observed properly dated, labeled, packaged, and stored. The freezer temperature measured 0-degrees Fahrenheit, and the refrigerator temperature measured 45-degrees Fahrenheit. LPA observed knives and sharps to be secured and are inaccessible to residents. LPA observed a menu posted in the dining room. The third and fourth floor kitchens were observed to be clean and sanitary. LPA observed a supply of snacks and drinks available for residents at any time LPA observed cleaning supplies and sharps to be secured in a locked storage room and are inaccessible to residents. All trash cans were observed with tight fitting covers. Common Rooms LPAs observed all common rooms to have ample seating to accommodate residents. LPAs observed all dining rooms to have ample seating to accommodate residents. In the activity room, LPAs observed arts, crafts, games, puzzles, and reading material available for residents. LPAs observed a daily and monthly activity schedule. LPAs observed laundry rooms, that are available to residents, to be clean and in good repair. All walkways, hallways, and stairs in the facility were observed to be clean, clear, and free of hazards and obstructions. The facility was kept at a comfortable temperature of 72-degrees Fahrenheit. All rooms and hallways were observed to have ample lighting. Files LPAs observed resident files secured in the locked wellness room and are inaccessible to residents. The facility does not handle resident’s finances. The staff files are secured in the business office and are inaccessible to residents. Safety LPAs tested smoke detectors on each floor and carbon monoxide detectors in each resident unit and found them to be operable. When smoke detectors were 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 triggered, fire doors on each floor operated properly. LPA observed multiple fully charged fire extinguisher last serviced on 05/17/24, throughout the facility. The Fire Safety Inspection was conducted on 05/14/24. The last emergency drill was conducted on 06/28/24. LPAs observed an evacuation chair at each staircase. The facility has a working landline telephone. LPAs observed the facility’s Emergency and Disaster Plan posted. LPAs observed all required posting, posted throughout the facility. LPAs tested the signal system in residents’ rooms and in common bathrooms. LPAs received and reviewed a copy of the liability insurance through Acord. Medications LPAs observed medications secured in locked medication cart on each floor. Medications are inaccessible to residents. LPAs observed medications to be in their original packaging. LPAs observed a fully stocked First Aid kit with a current manual, in the wellness room. LPAs observed additional First Aid supply secured in a storage room. LPAs and Administrator reviewed and discussed Component III. During today's visit, LPA did not observe any issues requiring corrections. LPAs will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application. An exit interview was conducted with Administrator, Kelley Koul, and a copy of this report was provided.