Facility Evaluation Report

On this day, January 29, 2025 at 10:40 am, Licensing Program Analysts (LPAs) J. Clancy-Czuleger and J. Sampair arrived unannounced to conduct case management inspection as part of monitoring plan from Non-compliance Conference held on November 07, 2024. LPA met with Licensee Erika Tillis, and informed the reason for visit.

LPA toured the facility inside out. LPA inspected the living room, dining area, kitchen, bathrooms, residents rooms. LPA inspected the food supples and observed good for 2 days of perishables and 7 days of non-perishables. During the health and safety check, LPA observed a total of 3 staff members and 9 residents at the facility.

Annuals fees are outstanding for 2019, 2020, 2021, 2022, 2023 and 2024.

Late fees have been assessed and are outstanding for 2019, 2021, 2022, 2023 and 2024.

S1 does not have a valid Administrator Certificate

S3 is not fingerprint cleared and associated to the facility

Facility is caring for residents who are non-ambulatory

Facility is caring for residents beyond the conditions and limitations specified on the license

Facility is licensed for only ambulatory residents, but is caring for residents who are diagnosed with dementia