Follow-up·November 14, 2025

On 11/14/25, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced case management - other visit. The purpose of the visit is to provide technical support and this was explained to the Caregiver Marjorie Ravao. The facility's Plan of Operation (Medication Documentation) revealed "each medication dose will be logged on the MAR". For unused and/or discontinued medications, staff in charge has to contact MD each time client refuses to take medication. The facility has two ring cameras in the common living room. Under no circumstances may video surveillance in facilities use an audio component and the Licensee has to ensure that clients' dignity and privacy rights are not violated by negligent and/or abusive surveillance practices The facility has a hospice waiver and residents' hospice plan shall include which duties are the Licensee and which are the hospice staff. Continue to LIC809-C. Training from hospice should also be documented and the facility shall maintain the training records for at least three years. Residents shall be encouraged to maintain and develop their quality of life through physical activities that maintain physical health including exercises, and other similar activities that promote balance , strength, coordination , flexibility, and range of motion. An exit interview was conducted, technical assistance provided, and a copy of this report was provided to the Caregiver Marjorie Ravao .