Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted a case management -Incident visit to the facility above. LPA met with Diana Barnhill Licensee/Administrator of the facility and explained the purpose of the visit.

LPA toured the facility and checked on the 10 residents in care.

LPA requested the following records from the facility: Residents roster, Staff Roster, Staff Schedule for date of incident, copy of the video surveillance for 10/26/2025, 10 Residents care plans, Call pendants records for October 25th, 26th and 27th, and Copy of Staff 1 (S1)’s file for application, job description, mandated reporting, photo ID, CCL Clearance form, and training, as well as any remaining records not received from 10/27/2025 request.

Licensee called LPA on Monday October 27, 2025, at 12:30pm to report an incident that happened on Sunday Oct. 26, 2025, around 1:30am-5:30am, Staff 1 (S1) on duty NOC caregiver text Licensee and Staff 2 (S2) that S1 was not feeling good and was leaving to go home. This text message was not read until after 5:15 am by S2, who immediately called the facility and got no answer called the Licensee, changed and headed over to the residence. The front door was found unlocked and all 10 Residents were found sleeping around 5:35am, Licensee arrived at 6:03pm and Staff 3 (S3) arrived before the start of S3’s 6am shift at 5:51am. The Licensee said company policy is for Staff to call and not to text when in an emergency. Continued 809-C