Facility Evaluation Report

On 11/18/25 Licensing Program Analyst (LPA) B. Miranda & S. Doucette arrived to the facility unannounced to conduct a complaint investigation. LPAs met with Wellness Director Elizabeth Vasku and Assist Executive Direct Danielle Mouw.

During the investigation the following deficiencies were observed. LPAs observed an unoccupied housekeeping cart with cleaning supplies and chemicals accessible to residents in care. LPAs observed housekeeping staff to be in a residents room. LPAs also reviewed a rent increase notice with no proper date. This does not show the proper 90-day notice was given.

Technical violation was issued requesting a packet be provided for a qualified administrator. Packet is due in the office on 11/25/25 by 12:00 p.m.

Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Assist Executive Direct Danielle Mouw.