Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit to investigate a resident death. LPA identified herself to, was greeted by, and explained the purpose of the visit to Executive Director Thomas "Ozzy" Daynes. Care Coordinator Ariana Ventura arrived during the visit.

On 12/15/2025, the Department received an incident and death report reporting Resident 1's (R1’s) death, which occurred on 12/13/2025. [Care Coordinator was provided with an LIC811 Confidential Names List to identify R1] During today’s visit, LPA conducted a health and safety check, observed residents in care, reviewed and obtained copies of facility records, and interviewed staff. LPA requested that the facility submit R1's death certificate to the Department when it became available.

No deficiencies were cited on today’s date. An exit interview was conducted with Care Coordinator Ariana Ventura, whose signature below confirms receipt of a copy of this report, the LIC811, and the Licensee Appeal Rights (LIC9058 3/22).