Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted a Case Management visit at the above facility at 09:15 am to verify that Resident #1 (R1) and Resident #1 (R2) relocated to the facility on 08/16/25 and to do a health and safety check on both residents. LPA met with staff and explained the purpose for the visit. The administrator was contacted by staff and arrived later.

At approximately 9:45 am, LPA Smith conducted a brief tour of the physical plant to ensure compliance with Title 22 regulations. Prior to the visit on 08/19/25, LPA Smith requested via email, new admissions information for the facility and an updated client roster. The client roster was received on 08/22/25 and a printed copy was provided during the visit. During the physical plant tour, LPA checked the facility and R1’s and R2’s room. A brief interview was conducted with R1 and R2.

Both residents were awake, dressed and alert, however, per administrator, R1 is hearing impaired. Both residents expressed they are doing satisfactory or okay. R1 revealed would like dental care and R2 revealed they do not have any concerns or issues. A brief discussion with the administrator revealed she has contacted/and is working with R1 responsible party to resolve R1s concern. The administrator authorized Klaris Throhain to sign report.

LPA did not observe any deficiencies or hazards during the visit.

Exit interview conducted. A copy of the report given.