Facility Evaluation Report

On 3/19/24, Licensing Program Analyst (LPA) Albert Johnson arrived at facility unannounced to clear citations for a case management visit that was completed on 2/1/2024. LPA Johnson met with Gretchen Monares and explained the purpose of today's visit.

The following deficiencies, initially cited during a visit on 02/01/2024, have been cleared:

The facility will repair or replace the Unit for air-conditioning and heating by the POC date or provide the department with a plan to repair or replace the unit by 2/15/2024.

LPA was able to confirm that the facility has established a plan of action to completed the HVAC system. The completion date is to be determined and a copy of the permits and floor plan will be submitted to the department before construction starts.

The Administrator will update any and all service plans for any resident that is being billed for services not identified in their pre-appraisal or their current service plan. Proof of this will be submitted to licensing by 2/15/2024

LPA was able to review service plans for three residents to confirm the updated information is in place.