Facility Evaluation Report

Licensing Program Analyst Simi Rai arrived at the facility unannounced to conduct a case management – other visit. LPA met with Licensee/Administrator Fredricka Safar. LPAs observed 3 staff members and 6 residents at the facility.

The purpose of the visit is to hand deliver an immediate exclusion letter for an individual (S1) who the Department determined engaged in conduct inimical as a staff in the facility and conclude the investigation visit from 7/29/2025.

S1 was not currently working in the facility. Licensee/Administrator Fredricka Safar stated the staff was terminated on 7/25/2025.

The immediate exclusion letter was handed to the Licensee/Administrator Fredricka Safar. Licensee/Administrator Fredricka Safar was informed to remove S1 from any contact with residents and not allow S1 to be physically present in the facility. The ADM was advised to separate S1 from the facility roster.

On 7/28/2025, the Department received an Incident Report stating on 7/25/2025 at approximately 5:40pm, staff S1 slapped resident R1 twice on the right side of the face, leaving a visible red mark. This incident was observed by staff S2 and S3 and they intervened and applied an ice pack to R1's face. Per report, S1's employment was terminated and no longer works at the facility. The Department conducted interview of 1 staff (S2). S2 stated he/she witnessed the incident wherein S1 slapped resident R1 twice on the right side of the face.