Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced visit on this date. LPA met with Yanet

The purpose of the visit today is follow-up on plan of correction visit from the annual inspection completed on 1/28/2026. The facility submitted required documents including an update to the plan of operations to included a dementia component. The facility will need a new fire clearance. The fire clearance will address delayed egress and other items identified from the inspection by the Fire Marshal. The department has requested that the completed and most recent Fire Marshal report be sent to the LPA by the close of business on 2/26/2026.

During the visit LPA toured the facility and observed expired five year sticker and the annual sticker on the fire hydraulic system/ fire riser. The facility stated that work was completed by a local vendor but they did not provide the compliance stickers. Because there are additional repairs needed.

An exit interview was conducted, and a report was left with the facility with appeal rights.