Post-licensing visit·February 3, 2026

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to the facility on 2/3/2025 at 1:45pm to conduct a post licensing visit. LPA met with administrator Jasvir Sohi and explained the purpose of the visit. The facility has 4 clients, no clients with restricted care, and a total capacity of 6 clients. LPA reviewed Staff Records, including but not limited to the backround checks for DOJ,FBI, No backround Check for the employee or her husband. Citations applied as part of a complaint for this date. First aid certificate, CNA training, exists. TB screening, health eligibility is not complete. LPA Gave guidance to complete the staff file as outlined in regulation, and sent the regulation via email. LPA reviewed Client Records, including but not limited to needs and services, signed admission agreements, property and valules, recent medical assesments, and Preappriasal. one client has wandering, two clients has non insulin dependant diabeties, one client has insulin dependant diabetes. Per the administrator the insulin dependant diabetes is getting an amended 602, where a restricted exemption waiver will not be necessary. LPA is requesting an update be sent to the LPA as to the outcome of that 602 appointment. LPA reviewed the admission agreement and house rules, including mail policy, and starting and continuing Training for the staff. the Content of the annual training should be stored with the Plan of Op, and should include the 12 hours of general topics of care as described in regulation, 8 hours of dementia care, and the LPA is recommending that some time be spent training in diabetic related topics. Initial training content should also be kept with the plan of op, and include a review of personal rights, evacuation plan, and the mandatory reporting requrements. No citations were issued. A copy of the report was read and given to staff, an exit interview was conducted.