Facility Evaluation Report

On 12/2/25, Licensing Program Analyst (LPA) Kevin Mknelly, conducted a case management visit while delivering complaint findings and met with the Executive Director .

On 11/21/25 , the department received an incident report that described an interaction between R1 and R2 in which R1 sustained a small skin tear.

LPA and director reviewed the incident and measures taken. It was found that R1 had inadvertently touched R2's walker as they past one another. When R2 pulled their walker back, R1 was scratched by the walker. No prior or further incidents have occurred between the two.

LPA and Director discussed behavioral expressions and the communities methods for addressing behaviors.

LPA received a copy of licensee's Plan of Operations.

As a result of today’s inspection, no deficiencies were noted.

Report reviewed. Copy of report and appeal rights provided