Facility Evaluation Report

Licensing Program Analyst (LPA) Fred Arias made an unannounced visit for the purpose of conducting a Plan of Corrections Inspection for deficiencies issued on 05/21/2025 during the required annual inspection. LPA was greeted and granted entry by Director of Memory Care Amy Kaplli and discussed the purpose of the visit.

LPA toured the facility to check the deficiencies have been corrected with staff. LPA verified smoke alarm was replaced in room 19 and fruit flies had been eradicated from the prep kitchen. The facility is still working on replacing some components in the fire systems and should be providing a service report to LPA by 06/04/2025 to correct the deficiency. Water temperature in the bathroom by room 8 measure 127 degrees F, higher than previous reading of 89.9 degrees F during the annual inspection. Facility has until 06/04/2025 to correct the deficiency. The emergency disaster drill is scheduled for 05/30/2025 at 2pm. Facility has until end of day 05/30/2025 to clear the deficiency.

Based on LPA's observation on today's visit, LPA is unable to clear any deficiencies at this time.

An exit interview was conducted and a copy of this report was provided to the facility representative.