Facility Evaluation Report

On 5/13/2025, at 10:10am, Licensing Program Analysts (LPAs) L. Hall and T. Syess-Gibson conducted an unannounced Case Management health and safety check. LPA met with Marie Etienne, Caregiver, explained the purpose of the visit.

LPA received called on 5/12/2025, from Licensee, stating the property and business has been sold. New potential owners (S2 and S3) arrived at 11:00am. Facility is licensed for six (6) ambulatory residents only.

LPAs observed the following deficiencies:

At 10:15am, LPAs observed S1 was not fingerprinted or associated.

At 10:25am, LPAs observed facility did not have a qualified administrator.

At 10:30am, LPAs observed garage door unlocked with bleach, gallon of primer, gallon of paint, Fabuloso, laundry detergent, and Clorox disinfectant accessible.

At 10:40am, LPAs observed facility did not have a sufficient amount of linen . LPAs observed 2 mattress pads,

At 11:00am, LPAs observed S2 is not associated and S3 is not fingerprinted or associated to the facility.