Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual.

A post licensing was not conducted on/around May 2022. This report is being generated to document a post-licensing inspection.

LPA met Norma Green and Joan Wisdom, caregivers, who contacted Administrator, Steven Ronstadt, by phone. Administrator and House Manager, Kelly Conley, arrived at approximately 12:15 pm. LPA observed (2) residents in the common area and (2) residents in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents and has a hospice waiver for (4).An increase was approved on 5/16/22. Currently, there is (0) residents on hospice.

Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols, wore a surgical mask and was screened per Covid-19 precautionary measures upon entering the facility.

A separate 809 report was created to document the annual inspection.