Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Case Management Visit to follow up on an incident report submitted to Community Care Licensing (CCL) on May 4, 2026 regarding a resident (R1) having multiple falls resulting in a compress fracture. LPA was greeted by and met with Executive Director, Bee Bee Smith, to discuss the purpose of the visit.

LPA toured the facility, conducted interviews and collected relevant records. Based on observations, review of records and interviews, R1 service care plan was updated to meet R1 needs. Staff followed reporting requirements regarding the fall incidents and are actively working with responsible party and medical providers to conduct the appropriate assessments and evaluations to meet R1's needs.

No deficiencies were cited or observed on this date.

An exit interview was conducted with Executive Director, Bee Bee Smith, who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.