Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit to conduct follow up regarding an incident. LPA was greeted by, identified herself to, and explained the purpose of the visit with Executive Director Kristel Johnson.

On 4/15/2026, the Department was made aware of a fire that occurred in the facility's memory care building on 4/13/2026.

During today’s visit, LPA conducted a health and safety check, toured the memory care building, observed residents in care, and briefly spoke with the Executive Director. LPA did not observe any health or safety concerns in the facility's memory care. Interviews revealed that a laundry machine in the facility's memory care caught fire, resulting in memory care residents being temporarily evacuated from the building. The Fire Department was contacted, put out the fire, and cleared the memory care building for resident repopulation the same day. No residents or staff were injured during the fire and residents were not required to be evacuated to an alternative location off facility property. Interviews revealed that the facility did not report the fire to the Department by the next working day, which was 4/14/2026.

The following deficiency was cited for reporting requirements and noted on the attached LIC809-D page.

An exit interview was conducted with Executive Director Kristel Johnson, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).