Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced case management visit to

address deficiencies. LPA Smith was greeted by staff and disclosed the reason for the visit. The administrator was contacted and arrived later.

On 10/09/25, LPA Smith discovered deficiencies during the annual visit, but due to database issues, the deficiencies could not be issued.

Patio furniture (sofa) was severely worn, with large cracks, tears, revealing the white fiber filing inside

Pile/collection of trash/recycling and grocery store carts in backyard. Administrator provided pictures later the same day that items have been corrected.

Therefore, under Title 22 Regulations, the following deficiency was cited and recorded on LIC 809D.

Exit interview conducted and a copy of the report issue