Most inspections found no deficiencies, with routine annual and complaint investigations consistently showing compliance in areas like infection control, safety, medication storage, and resident care. Several complaint investigations were unsubstantiated, including allegations about staff background checks, resident care, and use of restraints. The most recent report from September 19, 2025, cited a single deficiency related to the unlawful transfer of business assets without timely licensure application, which resulted in forfeiture of the facility’s license and a notice of violation of law. No fines or other enforcement actions were listed in the available reports. This indicates a generally strong compliance history with a significant licensing issue arising only in the latest inspection.
An unannounced case management visit was conducted to review the facility's compliance with licensing requirements, specifically regarding a business asset transfer and licensure application.
Findings
The facility unlawfully transferred business assets without timely submitting a licensure application, resulting in forfeiture of the facility's license. A notice of violation of law (NOVL) was issued and the continued operation without a license was deemed unlawful.
Deficiencies (1)
Description
Unlawful transfer of facility business assets without timely licensure application submission.
Report Facts
Capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Makayla White
Administrator
Met during inspection and involved in business asset transfer
Kimberly Viarella
Licensing Program Analyst
Conducted the case management visit
Stephen Richardson
Licensing Program Manager
Reviewed business agreement related to asset transfer
The inspection was an unannounced Required - 1 Year annual inspection visit conducted to assess compliance with licensing regulations.
Findings
No deficiencies were cited during this visit. The facility was found to be in compliance with regulations including infection control, safety, medication storage, and emergency preparedness.
Report Facts
Facility capacity: 6Resident census: 6Administrator certificate expiration: Mar 11, 2025Emergency drill date: Jul 23, 2024Facility temperature: 72Hot water temperature: 118.4
Employees Mentioned
Name
Title
Context
Makayla White
Administrator
Met with Licensing Program Analyst during inspection and named in report
Licensing Program Analyst Ruth Wallace conducted an unannounced required annual inspection visit to evaluate the health and safety of residents and compliance with regulations.
Findings
The facility was observed to be clean, odor-free, and in good repair with all required furniture and lighting. Water temperature, food supplies, fire safety equipment, medication storage, and staff clearances were all compliant. No deficiencies were cited during the inspection.
Report Facts
Water temperature: 113.2Fire extinguisher last inspection date: Oct 3, 2023Fire drill date: Oct 10, 2023
Employees Mentioned
Name
Title
Context
Makayla Anderson-White
Administrator
Met with Licensing Program Analyst during inspection
Ruth Wallace
Licensing Program Analyst
Conducted the unannounced required annual inspection visit
An unannounced complaint investigation visit was conducted to investigate allegations regarding employees not passing criminal background checks, residents' incontinent care needs not being met, and staff restraining residents.
Findings
Based on observations, records review, and interviews, all three allegations were determined to be unfounded. No deficiencies were observed or cited during the visit.
Complaint Details
The complaint investigation addressed three allegations: 1) Employees have not passed their criminal background checks; 2) Residents incontinent care needs are not being met; 3) Staff restrain residents. All allegations were found to be unfounded after investigation.
Report Facts
Facility capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Kimberly Viarella
Licensing Program Analyst
Conducted the complaint investigation visit
Stephen Richardson
Licensing Program Manager
Named in the report as Licensing Program Manager
Makayla Anderson-White
Administrator
Facility Administrator mentioned in relation to background check findings
The inspection was an unannounced required 1 year annual inspection to evaluate the health and safety conditions of the facility and ensure compliance with regulations.
Findings
The facility was found to be clean, odor-free, and in good repair with all required furniture and sufficient lighting. Water temperature, food supplies, fire safety equipment, medication storage, and COVID-19 protocols were all in compliance. No deficiencies were cited during the inspection.
Report Facts
Water temperature: 110Capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Makayla Anderson-White
Administrator
Met with Licensing Program Analyst during inspection and participated in facility tour
Christopher Hopkins-Clarke
Licensing Program Analyst
Conducted the inspection
Inspection Report Original LicensingCensus: 6Capacity: 6Deficiencies: 0Nov 19, 2021
Visit Reason
The visit was an unannounced pre-licensing inspection conducted to evaluate the facility for licensure.
Findings
The facility was found to be clean, odor-free, and in good repair with all required furniture and safety equipment in place. Water temperature, fire safety devices, medication storage, and supplies met regulatory standards. The Component III orientation was successfully completed, and the licensing program analyst recommended moving forward with licensure.
Employees Mentioned
Name
Title
Context
Makayla White
Administrator
Met with Licensing Program Analyst during inspection and participated in facility tour.
Mark Graham
Licensee who arrived during the inspection.
Christopher Hopkins-Clarke
Licensing Program Analyst
Conducted the pre-licensing inspection.
Czarrina A Camilon-Lee
Licensing Program Manager
Named as Licensing Program Manager on the report.
Inspection Report Original LicensingCensus: 6Capacity: 6Deficiencies: 0Nov 8, 2021
Visit Reason
The visit was conducted as a Component II evaluation by the Community Care Licensing Division related to a change in ownership application for the facility.
Findings
The Component II evaluation was successfully completed via telephone interview, confirming the applicant and administrator's understanding of licensing requirements, staff qualifications, program policies, and application documentation.
Report Facts
Capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Mark Graham
Licensee
Participated in the Component II evaluation
Makayla White-Anderson
Administrator
Participated in the Component II evaluation
Celia Phomphachanh
Licensing Program Analyst
Conducted the Component II evaluation
Darla Neeley
Licensing Program Manager
Named in the report header
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