Facility Evaluation Report

On July 24, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to conduct a Case Management Health and Safety visit, and met with Administrator, Dulce Redford.

During the visit LPA toured the facility along with the Administrator, Dulce Redford, and made observations. There were Health and Safety challenges observed at this time. There will be a Plan of Correction (POC), and citation of 80088 (d).

LPA conducted a review of the records to include resident file for Resident # 1(R1), who no longer resides at the facility at the time of this visit.

The administrator has followed up with the corrections for the POC for the missing, exterior screen window, at the time of this visit, and the POC will be cleared today 07/24/2026.

LPA observed facility utilities to be operating at the time of this visit. LPA assessed the available food supply and observed there was a variety of food types. Additionally, the supply exceeds the required two-day supply of perishable food items, and a seven-day supply of non-perishable foods. The medications were found to be in sufficient supply, locked, and inaccessible to the residents in care, with an automated delivery rotation.

Based on the information obtained during today's visit, from interviews, record reviews, and the LPA’s observations, there were immediate threats to the health, safety, and welfare of the residents in care. Licensee completed and removed the threats by replacing the window screen. The POC was completed and cleared at the time of the visit. There were deficiencies observed and cited during today's visit, and cleared. An exit interview was conducted, and a copy of this report was provided to the Administrator, Dulce Redford.