Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced Case Management visit. LPA was greeted and granted entry at 11am and spoke with the Administrator (AD) Heddy "Girlie" Mae Oyson via phone and explained the purpose of the visit.

The facility is a four bedroom, three bathroom residential home with an approved fire clearance of six non-ambulatory residents and for one bedridden resident in room #1. The facility has a hospice waiver for five residents. Currently there are two residents in care and both receive hospice services.

During the visit, LPA toured the facility and observed the temperature was 77 degrees Fahrenheit. The hot water temperature was measured at 105.2 degrees Fahrenheit. Utilities and appliances are operational. The facility retained two days of perishable supplies and seven days of non perishable food on hand. The facility was clean and there were no odors detected.

LPA spoke with one of two residents and two of two staff members. Resident stated they receive proper care. Two of two staff interviewed continued to be owed back pay. A Civil Penalty of 21 days X $100 per day will be assessed for CCR 87213 Finances. Total assessed is $2100 for the dates 6/18-7/9/2026.

An exit interview was conducted with Staff #1 (S1) and a copy of this report and LIC 421FC was provided to the facility.