STATE OF WASHINGTONDEPARTMENT OF SOCIAL AND HEALTH SERVICES

AGING AND LONG-TERM SUPPORT ADMINISTRATION20425 72nd Avenue S, Suite 400, Kent, WA 98032-2388

April 25, 2016

RE: PROCARE ADULT FAMILY HOME License #750360

Dear Provider:

The Department completed a follow-up inspection of your Adult Family Home on April22, 2016 for the deficiency or deficiencies cited in the report/s dated December 22,2015 and found no deficiencies.

The Department staff who did the inspection:

DANIEL M KWAOPROCARE ADULT FAMILY HOME19256 2ND AVE SDES MOINES, WA 98148

Dorothy Talbot, Licensor

Sincerely,

Delores Usea, Field ManagerRegion 2, Unit GResidential Care Services

If you have any questions please, contact me at (253) 234-6007.