Facility Evaluation Report

At approximately 1:15PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Non-Compliance Conference. Licensing Program Manager Kimberly Mota and Regional Manager Carla Nuti-Martinez were present during this visit via Microsoft Teams. LPA met with Executive Director Machellee Allison, Chief Operating Officer Amy Smith, Chief Financial Officer Scott Sampson and Business Office Manager Lucy Russell.

On September 5, 2025, the Department received a complaint alleging Neglect/Lack of supervision resulted in resident being sexually assaulted, Staff did not prevent a resident from engaging in inappropriate sexual behavior in a common area. Based on the complaint investigation the Department substantiated the allegations.

The following areas of non-compliance were addressed today:

Facility will be put on a two (2) year Non-Compliance Plan and has agreed to be a part of the Technical Support Program.

A copy of the Appeal for the April 14th visit was provided during this visit.