Routine inspection·January 24, 2025

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection. LPA met with Licensee and explained the purpose of the visit. Today's census is five residents in care, with two residents on hospice. LPA was informed at once point there was four residents on hospice services. Facility is licensed for hospice waiver of two, but upon file review, it revealed hospice waiver increase was approved in 2022 but license was never updated. LPA informed facility it will be updated and new license will be mailed. LPA and Licensee conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: residents bedroom, bathrooms, laundry, kitchen, backyard, garage and common areas. During today's visit, LPA was unable to complete visit. Visit will be continued at a later date. Exit interview conducted.