Follow-up·March 27, 2024

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit due to a request to change the facility capacity. LPA was greeted by, identified herself to, and discussed the purpose of the visit with House Manager Lauren DeLancey. A Change of Capacity application was received by the Department on February 2, 2024, in which the licensee requested an increase in non-ambulatory capacity from 0 to 2 residents. The Fire Safety Inspection Request was approved by the local fire authority on March 11, 2024 with the requirement that the 2 non-ambulatory residents will reside in the room noted Bedroom #5 on the facility sketch. During today’s visit, LPA toured the facility and inspected each room. No residents were admitted to the facility at the time of LPA's inspection. The facility sketch was consistent with the current layout of the facility. No immediate health and/or safety concerns were observed during today's visit. The completed change of capacity request will be forwarded to management for final review and approval. An exit interview was conducted with House Manager Lauren DeLancey, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).