Facility Evaluation Report

On 8-6-2026 at 10:15am, Licensing Program Analyst (LPA) Michael Bilger and Licensing Program Manager (LPM) Liza King arrived unannounced to conduct a quarterly inspection visit. LPA and LPM met with Interim Administrator Farina Khan and explained the purpose of the visit. During todays unannounced quarterly inspection the following were reviewed:

A. Respondents shall operate the facilities in substantial compliance with the regulations and statutes governing the operations of adult residential facilities and residential care facilities for the elderly.

B. During the period of probation, the Department, in its sole discretion, may conduct unannounced site visits for the purpose of determining whether there is compliance with the regulations and statutes governing the operation of adult residential facilities and residential care facilities for the elderly.

C. Respondents, and each of them, shall ensure that all individuals working, residing or volunteering in the facility shall, to the extent required by law, obtain criminal record clearances or exemptions prior to their initial presence in the facility and shall maintain proof of such criminal record clearances or exemptions at the facility. VERIFIED by review of staff present today and guardian roster. Staffing schedules reviewed were dated 7/26/2026 to 8/1/2026 and 8/6/2026.

D. This Stipulation shall be posted in a conspicuous place at the facility for the duration of the probationary period VERIFIED by observation

E. Respondents are required to maintain accurate, complete and current client rosters which must be made available to the Department upon request. VERIFIED by record review

F. Within thirty (30) days of the effective date of this Stipulation, Respondents shall submit to their respective licensing offices written summaries of their hiring and training practices, including job descriptions for each position at the facility. COMPLETED {Cont. on 809C}