Facility Evaluation Report

On 6/11/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom and Licensing Program Manager (LPM) arrived unannounced at the facility to conduct a case management visit. The LPA and LPM met with Licensee Georgia Wilcomb and explained the purpose of the visit. The LPA and LPM conducted a tour of the facility.

While touring the facility, the LPA and LPM observed a spray bottle of bleach cleaner on a wooden hutch located in the dining room. The bleach bottle was accessible to the residents in care, presenting a risk to health and safety.

As a result of this case management visit, one deficiency was cited (see LIC809-D). The facility is not in compliance with Title 22 Regulation. An exit interview was conducted with Licensee and a copy of the LIC 809, LIC 809-D, and appeal rights were provided to the facility.