Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted a unannounced case management - incident report that was received by the Department on 11/10/2025. LPA met with Licensee/Administrator Fredricka Safar and stated the purpose of the visit.

On 11/10/2025, the Department received an incident report alleging that a staff (S1) was witnessed by another staff (S2) standing over the resident and his/her face was very close to the resident. Based on the information received, S2 made a noise and S1 left the resident's room.

ADM stated that he/she has not reported the incident to Law Enforcement but have reported the incident to the Adult Protective Services (APS). ADM stated that S1 is no longer associated with the facility. ADM will update the information on Guardian.

LPA requested the following documents such as staff file record, resident's physician's report and appraisal needs and services.

LPA Partoza, observed 5 Out of 6 residents were present at the facility. 1 Out of 6 was not at the facility and will arrive later in the afternoon, 2 Out of 6 was at the living room listening to music and supervised by staff. 1 Out of 6 was at the dining room area. 1 Out of 6 was in his/her bedroom asleep.