complaint·March 27, 2026

Additionally, LPA reviewed STD850 "Fire Clearance" that was submitted on 10/15/25 and observed that on 10/22/25 the fire clearance granted for six (6) Ambulatory ONLY. Therefore, Notice of Violation of Law (NOVL) was issued, and Operator was advised to cease the operation. During today’s visit, LPA conducted physical plant tour and observed that there are currently four (4) residents residing at the facility. LPA conducted review of documents and observed that the license (#197610839) was issued on 01/29/2026 for capacity of six (6) ambulatory only. LPA also observed that a new Fire Clearance (STD850) request was submitted on 03/04/2026 for the capacity of six (6) residents of which two (2) can be Ambulatory, three (3) – Nonambulatory and one (1) – Bedridden. STD850 was granted as of 03/20/20 26. New license will be issued to reflect the Fire Clearance approval. This complaint will remain Substantiated based on an initial finding. Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.