Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced Case Management Deficiencies Visit at 8am to observe the health and safety of residents in care LPA was greeted and granted entry by Staff #1 (S1) and LPA explained the purpose of the visit.

There are currently three residents in care. Two new residents were relocated from the Hills of Tree Top. Residents were moved into the facility on June 16, 2026. One additional resident already resided at the facility. LPA interviewed three of three residents regarding their quality of care and three of three residents did not have issues with care. LPA was informed two residents had passed away and Death Reports will be sent to the Department. S1 has an administrator's certificate that expires on January 29, 2027 but has not been assigned as the Administrator for this location. A second Administrator lives in the Additional Dwelling Unit (ADU) who has a current Administator's Certificate.

Two of two staff members reside in the facility and are associated per Guardian report LPA interviewed staff who are currently being paid but are owed back pay. A citation will be given for Finances CCR 87213. A Civil Penalty will be assessed from 5/30-6/18/2026 at $100 per day X 20 days. Total assessed $2000.

LPA toured the facility and observed there were two-days of perishable food and seven-days of non- perishable food on the premises. The facility was clean and there were no odors detected. For the two new residents who were relocated, bedrooms were put together with beds having the required linens and required furnishings were in place. LPA tested the hot water temperature in three of three bathrooms. The hot water temperature was between 105.0 to 105.2 degrees Fahrenheit.