Facility Evaluation Report

On 07/26/2026, Licensing Program Analyst (LPA) Jacqueline Shaw-Ross, conducted an unannounced case management visit to the facility to assess for any health or safety concerns. LPA met with Daija Love, Medical Technician and the purpose of the visit was provided.

LPA toured all residential buildings located on the facility grounds. During a tour of Building B, LPA observed that the laundry room in the West Hall of Building B was discovered to be unlocked, allowing resident access to cleaning chemicals and other potential hazards. LPA discussed this with the Medtech on duty and re-tested the lock. Upon observation it was discovered that the hole to the latch of the door had been plugged with tissue to prevent it from locking. Medtech stated they believed caregivers may have done this because they did not know the key code. Citation issued. While touring the East Hall Building B, LPA also noticed the laundry room door in that location was cracked open. LPA pulled the handle of the laundry and the door locked. Medtech stated this would be forwarded to management. Also during a tour of Building B, LPA observed crafting scissors inside a resident's bedroom with the bedroom door left wide open. Although the resident is authorized to possess crafting scissors, they were left in an area readily accessible to other residents. This concern was discussed with facility staff and citation issued. During a tour of Building A, LPA observed that several bedrooms in Building A were warm and noted that the air conditioning was not functioning in several bedrooms. Staff reported the air conditioning system was inoperable in select bedrooms and that management will be notified. LPA was unable to obtain a temperature reading; however, bedroom windows were open to promote ventilation. Residents occupying the affected rooms stated they were not experiencing discomfort at the time of the visit. Technical assistance was provided regarding maintaining a comfortable indoor temperature, and the Med Tech reported the issue had been elevated to management and will be scheduled for repair the following day.

An exit interview was conducted and a copy of this report, LIC 809-D, LIC 9102 and the appeal rights were reviewed and provided to Daija Love, Medical Technician.