N.M. Code R. § 9.4.7.28
Appendix 17: Commission for the blind business enterprise program:
FACILITY VISIT SUMMARY
Location__________________________________ Date__________________
Licensed Manager’s Name_____________________________________________________________________
Purpose of Visit:______________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Licensed Manager’s Comments:__________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Recommendations:____________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Time and Length of Visit:_______________________________________________________________________
Licensed Manager’s Signature____________________________________________________________________
BEP Staff Signature____________________________________________________________________________
Distribution: White-Manager, Yellow-BEP Staff, Pink-Facility File
[4/15/97; Recompiled 10/01/01]
HISTORY OF 9.4.7 NMAC: [RESERVED]