Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced on a Case-Management visit for the purpose of issuing a deficiency. LPA met with Administrator (Admin) Tyana Fisk and explained the reason for the visit.

During the annual inspection conducted on September 18, 2025, LPA observed structural modifications were found within the facility. A partition wall was constructed within the garage designating one side as an office and the other as a resting area for the caregivers evidenced by the stacked mattresses and personal belongings. The current garage layout per review of the facility sketch submitted to the Department was not approved by the Fire Marshall which shows that the space was functioning as a garage.

Facility is not in compliance with the fire clearance, therefore a deficiency and an Immediate Civil Penalty are being issued.

An exit interview authorized by Administrator Tyana Fisk, was conducted with Caregiver Evelyn Macalino, and a copy of this report including the appeal rights were provided at exit.