Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios arrived to this facility to conduct and unannounced POC visit for citations issued on 07/03/2026. LPA rang the door bell and was greeted by the Licensee. Licensee granted access. LPA informed Licensee the purpose of the visit.

LPA was informed that Resident #2 (R2) was "discharged" from the facility on Friday, July 10, 2026 and admitted to a new assisted living facility. LPA obtained a copy of a signed document by R2's responsible person (RP) dated July 10, 2026. According to the Licensee on 07/04/2026 she verbally informed R2's and Resident #1's (R1's) RPs the facility would be closing. Licensee did not provide the residents or their RPs the required 60 day written eviction notice. The Licensee states a written eviction notice would still be provided to residents' RPs. The Licensee informed LPA, R1 will be discharged from the facility today, July 13, 2026. According to the licensee the decision to transfer the residents out were made by the residents' RPs before a written eviction notice could be provided. LPA contacted R1's and R2's, RPs and was informed that a 60 day written notice was not provided to them.

Original Citations and POC's with results of the POC visit are as follows:

H&S Code 1569.605 : The licensee did not obtain liability insurance. POC: The licensee will obtain liability insurance by 07/06/2026. POC was not cleared. The licensee stated the Insurance Broker was not able to assist with obtaining Liability Insurance as facility's application was denied. Licensee is forfeiting their license.