Facility Evaluation Report

On February 26, 2026, at 3:00 pm, an office meeting was held, via Microsoft Teams, to discuss a recent Plan of Correction (POC) issued in complaint control number # 59-AS-20251229144131. In attendance were, Ilona Corpus, Executive Director; Sherlin Baradaran, Chief Compliance Officer; Eric Hostetter, Regional Director of Operations; Leslie Quintanar, Chief Operating Officer; Lauren Crocker, Licensing Program Manager; Marisa Chiarelli, Licensing Program Analyst and Kayla Adkison, Licensing Program Analyst.

On February 6, 2026, the facility was cited for the substantiated allegation " Staff did not ensure facility is free of mold." The facility identified a small leak that had developed in a resident's apartment and began to develop mold along the outer edges of a cabinet. The resident was moved to a different apartment. The Health Department was contacted and directed the facility to handle the issue internally. A contractor was contacted and completed the work necessary to rid the apartment of mold.

During the meeting, a new POC was developed collaboratively. The Licensee/Administrator shall provide in-service training with a focus on educating staff to remain vigilant to any housekeeping concerns throughout the facility and informing management immediately if any issues are discovered. Licensee/Administrator shall provide proof of this training, to LPA, via email, by end of business on March 6, 2026.

No additional deficiencies are being cited as a result of this meeting. Exit interview conducted. A copy of this report was forwarded to Ilona Corpus, Executive Director, via email.