Follow-up·May 28, 2025

On 5/28/25 Licensing Program Analyst (LPA) Holly Williams conducted a case management inspection to address the shed that is not permitted and was being lived in, the staff room, and decrease in capacity. LPA met with facility designated administrator (FDA) Nazarina Vega and together discussed the report. LPA arrived at Norris Senior Care to follow up on the deficiencies that were cited from a prior annual visit conducted on 11/6/2024. This visit was to follow up on the shed in the back yard where the employee's were living. FDA agreed that they would reduce their capacity from 6 residents to 5 residents and make one room a staff room. The staff bedroom is room 4, bedroom 5 houses 2 clients, and bedrooms 1,2,3 are single client rooms. This was all approved by a new fire clearance granted on the date 5/22/2025. LPA toured the facility and in the shed out in the backyard was a fold up bed, lamp, clothes, dresser, plastic forks, food storage containers, snacks, hair spray, and a portable toilet. LPA stated that these things were not in the shed last time LPA was there on 2/13/2025 and the FDA stated that they obtained the all of the a fore mentioned items from the garage. LPA asked S1 why all the items were in the shed and S1 stated that there old from a long time ago. LPA informed FDA that they cannot use the shed outside as a staff room and the shed should only be used as storage. LPA asked the FDA to remove all of the items from the shed. LPA explained to the FDA that if they do have someone sleeping in the shed that the department could assess penalties. No deficiencies cited at this time. Exit interview conducted and a copy of this report and appeal rights was left at the facility.