Facility Evaluation Report

On 9/17/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced case management visit to the facility due to the capacity increase request submitted by the Licensee. LPA Flores met with Administrator, Robyn Icamen, and explained the purpose of the visit. At the time of the visit there was (40) forty residents.

The facility is currently licensed for (15) fifteen non-ambulatory, (33) thirty-three ambulatory residents, of to which (1) one may be bedridden. The facility is wishing to add additional bedding to selected units to create a shared bedroom. LPA observed units to a large enough space to allow for easy passage between and comfortable usage of beds and other required items of furniture specified below, and any resident assistant devices such as wheelchairs or walkers. Units observed did not have more than two residents shall sleep in a bedroom. LPA reviewed a Fire Safety Inspection Request (STD. 850) dated 7/21/2025, granted a fire clearance for (58) fifty-eight ambulatory, (15) fifteen non-ambulatory residents, to which (1) one may be bedridden. LPA toured the facility with Administrator Robyn. The physical plant is ready for the capacity increase as the facility sketches show sufficient livable space to accommodate the requested capacity. No health or safety issues were observed during the visit. A new license will be mailed to the facility to reflect the approved capacity increase.

An exit interview was conducted where this report was reviewed and provided to Administrator, Robyn Icamen.