Facility Evaluation Report

On 9/14/2021 at 9:35 AM, Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct continuation pre-licensing inspection due to a change of ownership. LPA met with caregiver S2, Administrator for Green Feathers arrived 30 minutes later, LPA informed the Administrator Merdith Castro, per Administrator she won’t be able to meet with LPA and she gave permission to LPA to give report to Kavitha Pramod.

Facility has an approved fire clearance for 6 non ambulatory residents. Last fire inspection was conducted on 06/11/2021. LPA inspected the facility including but not limited to 4 resident rooms common areas, kitchen, dining and outside areas. Hot water measured at 110.5 degrees Fahrenheit. There was sufficient supply of perishable and non-perishable foods. First aid kit was complete. Component III was waived. LPA discussed with Applicant that since she is the Administrator for two other facilities (079200843 & 079200542) she can’t be the Administrator for this facility, then Administrator verbalized that she will give up her position as Administrator for facility 079200843 to be Administrator for Green Feathers Assisted Living.