Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced Case Management Plan of Correction (POC) visit to address deficiencies related to the facility’s failure to correct previously cited deficiencies. LPA was greeted by Robert Williams and explained the purpose of the visit.

Case Management POC visit was conducted to follow up on deficiencies cited during the facility’s unannounced Annual Inspection on March 10, 2026, for which POC’s were due by March 11, 2026.

The following deficiencies were cited on March 10, 2026:

(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

POC- Licensee shall ensure the facility is maintained in a clean, safe, and sanitary condition at all times. Licensee shall clean the dining area, dining furniture, and restrooms to remove visible dirt and grime. Licensee shall also repair or replace the broken kitchen drawers to ensure they are in good repair and safe for use by POC due date.

During today's visit, LPA observed the facility to be cleaner, safer, and in sanitary condition. The Administrator and LPA discussed a plan moving forward to ensure the home is maintained in a clean and safe condition. Kitchen drawers are in the process of being repaired.- Deficiency Cleared

(g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.