Follow-up·March 5, 2026

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management - Other visit to this facility to add information to the Case Management - Deficiencies visit conducted on 02/18/2026 and correct the amount assessed on the Civil Penalty (421BG). Further record review of the Personnel Report (LIC 500) revealed Staff #1(S1) had a hired date of 8/22/2025 and Staff #2(S2) had a hired date of 2/14/2026. Based on interviews with the administrator on 02/18/2026 and residents, staff members worked in the facility and provided care and supervision to the residents since their hired date. Civil Penalty (LIC421BG) is being assessed to include $400 for each staff member. On 02/18/2026, the facility was assessed a civil penalty of $100 per staff, totaling $200. On 03/05/2026, an additional civil penalty was assessed for the deficiency cited on 02/18/2026 at $400 per staff, totaling $800 for today. No health or safety issues or concerns observed. Exit interview conducted. Civil Penalty Assessed for the remaining amount. Copy of report provided to Licensee.