Description: A licensee must operate the community care facility in a manner that will promote the health, safety and dignity of persons in care

Corrective Actions Required: Ensure that the community care facility is operated in a manner that will promote the health, safety and dignity of persons in care.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: March 27, 2026

Observations: Licensing toured the facility on this date and noted small ants in the lower bathroom sink area.

Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required: Ensure that all of the policies and procedures are reviewed and, if necessary, revised at least once each year.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: March 27, 2026

Observations: Licensing reviewed the policies and procedures for the facility. Multiple policies were not reviewed or revised in the last year.

Description: A licensee, other than a licensee who provides a type of care described as Hospice, must provide persons in care, without charge, with an ongoing planned program of physical, social and recreational activities suitable to the needs of the persons in care

Corrective Actions Required: Ensure that the licensee provides persons in care, without charge, an ongoing planned program of physical, social and recreational activities suitable to the needs of persons in care.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: March 27, 2026

Observations: Licensing toured the facility on this date and found no ongoing planned program of physical, social and recreational activities; the Manager confirmed there was no ongoing planned programming.