Facility Evaluation Report

An unannounced case management visit was conducted by the Licensing Program Analyst (LPA) Avelina Martinez on November 10, 2025, at 11:46 AM. LPA Martinez met with Kelli Hendrix to explain the purpose of the visit.

The purpose of the visit is to follow up on an incident report received on October 29, 2025. During today's visit, LPA Martinez conducted interviews and conducted a tour of the exterior of the building. At this time, R1 has a 1:1 caregiver and is being provided hourly status checks by facility staff. The exterior exit gate next to the dog park is non-operable a this time. The following documents were requested: R1's current needs and service plan, an updated facility sketch reflecting all egress exterior doors, an updated plan of operation to reflect the use of a secured perimeter at the Assisted Living building, R1's admission agreement, level of care point assessment fee breakdown, wander guard policy and procedures, and R1's safety plan for unauthorized absences. Staff agrees to email documents to LPA Martinez by November 17, 2025, by 5:00 PM. LPA Martinez will request a fire clearance for the egress exterior door. LPA Martinez will continue to follow up on R1'a safety plan, egress door installation, and fire clearance.

There were no deficiencies at this inspection visit. An exit interview was conducted, and a copy of this report was provided to the facility.