Facility Evaluation Report

On 04/04/2025, at 2:30 PM, Licensing Program Analysts (LPAs) James Sampair and Yasamin Brown arrived unannounced to conduct a Case Management - Health Check inspection . Upon entering the facility, the LPAs explained the purpose of visit to Licensee Ericka Tillis.

The LPAs toured the facility with the Licensee. The LPAs inspected both floors of the facility, including both of the kitchens, dining areas, restrooms, community living spaces, bathrooms, resident rooms, and the grounds of the facility. Temperature in the upstairs kitchen was measured at 73.8 degrees Fahrenheit. Fire extinguisher was fully charged and last replaced on 02/11/2025. The combination carbon monoxide and smoke detector was fully operational.

The facility remains over capacity, care of persons classified as non-ambulatory in a facility licensed to care for ambulatory only persons, unpaid annual and late fees, and absence of a certified administrator.

In addition to the existing deficiencies listed above, 2 new Type-A and 2 new Type-B deficiencies, and a $500 Civil Penalty were issued during the visit (for details refer to LIC 809-D and LIC 421BG).

The exit interview was conducted and a copy of this report provided.

Facility is subject to ongoing daily civil penalties until proof of corrected deficiencies have been sent to Community Care Licensing (CCL).