Facility Evaluation Report

On 05/06/2025 at 10:45 AM, an Informal Meeting was held via video conference with Administrator/Licensee Josephine Wilson. The purpose of this Informal Meeting was to discuss serious and reoccurring deficiencies during 2024 and 2025.

Harpreet Humpal - Licensing Program Manager

Yasamin Brown - Licensing Program Analyst

James Sampair - Licensing Program Analyst

Josephine Wilson - Administrator/ Licensee

Misrepresentation: facility license for wrong facility displayed

Fire Clearance: 6 of 6 residents are non-ambulatory in a ambulatory only facility

Recurring deficiencies: unlocked disinfectants, unlocked Medication, and unlocked knives.

Creating a temporary plan for safely caring for non-ambulatory residents while the Licensee is completing the process of being licensed for non-ambulatory residents.

Hiring a backup Administrator if Ms. Wilson prefers to focus on care giving rather than administrator duties.

Exit interview conducted and a copy of this report provided to Licensee via Email