Camelia Gardens

Type of visit: Case Management - Other

On 05/20/2026 at 10:00AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a case management inspection regarding facility closure. LPA met with licensee, Robert Johnson. LPA received an email dated 05/12/2026 of Licensee/Administrator advising CCL of forfeiture of license. Facility has no residents at the time of notification of closure. Facility has not had any residents since being licensed. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, and outdoor areas. LPA observed that no residents were present during inspection. The Licensee/Administrator provided original license and letter of closure to LPA during visit. LPA will send a forfeiture letter to the licensee at a later time. Exit interview conducted. A copy of this report is provided.the state’s words, verbatim · CDSS document, May 20, 2026

Type of visit: Prelicensing

On 05/15/2025 at 2:30PM, Licensing Program Analysts (LPA) T. Syess-Gibson and C. Fowler conducted an announced pre-licensing inspection. This is a continuance from the previous visit conducted on 05/08/2025 LPA met with Licensee, Robert Johnson and Administrator, Filicia Johnson. LPA explained the purpose of the visit. On 05/08/2025 at LPA toured facility including but not limited to resident's bedrooms, bathrooms, living room, dining area, kitchen, garage, and outdoor area. LPA observed lighting in all rooms. LPA observed facility had some perishable and non-perishable food supply. Licensee will purchase additional food supplies once facility is licensed. Smoke and Carbon monoxide detector was observed in operating condition. First aid kit was complete. Fire extinguisher was observed to be full and was purchased on 05/23/2024. Hot water was measured at 109.3 degrees F. Emergency disaster plan was complete. On 05/15/2025 LPA toured the facility and observed Licensee/Administrator made corrections from previous visit on 05/08/2025. Continue on LIC809C Continued from LIC809 LPA Conducted COMP III on 05/15/2025. The licensee/administrator was reminded of the statute that requires CCL to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, email, or by fax. No Issues were noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 15, 2025

Type of visit: Case Management - Other

On 05/15/2025 at 3:00pm, Licensing Program Analysts (LPAs), T. Syess-Gibson and C. Fowler announced to conduct an announced Case Management COMP III visit.LPA met with Licensee, Robert Johnson and Administrator, Filicia Johnson. LPA explained the purpose of the visit. LPAs presented Component III power point during visit and discussed the regulations embodied in the power point. LPA observed the participants gained knowledge about running and maintaining the facility in accordance with regulations. A license has not yet been granted to this facility. Licensure is subject to final review and approval by the Centralized Applications Unit. Licensee is not to accept consumers until notified by Community Care Licensing that the license has been approved. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 15, 2025

Type of visit: Prelicensing

On 05/08/2025 at 1:20PM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived announced to conduct a Pre-licensing Inspection. LPA met with Licensee, Robert Johnson and Administrator, Filicia Johnson. LPA explained the purpose of the visit. LPA toured facility including but not limited to resident's bedrooms, bathrooms, living room, dining area, kitchen, garage, and outdoor area. LPA observed lighting in all rooms. LPA observed facility had some perishable and non-perishable food supply. Licensee will purchase additional food supplies once facility is licensed. Smoke and Carbon monoxide detector was observed in operating condition. First aid kit was complete. Fire extinguisher was observed to be full and was purchased on 05/23/2024. Hot water was measured at 109.3 degrees F. Emergency disaster plan was complete. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1.)LPA observed facility does not have mattress pads for all resident beds. 2.)LPA observed facility has washing machine/dryer in the garage obstructing passageway. Continue on LIC809C Continued from LIC809 3.)LPA observed facility does not have an exit sign in the backyard identifying emergency exit. 4.)LPA observed facility does not have a properly locked cabinet for sharps. 5.)LPA observed facility does not have a signal system. 6.) LPA observed facility does not have a dementia plan to address behaviors such as ingestion of toxic chemicals and wandering behaviors. Licensee/Applicant will submit proof of corrections to CCLD on or before 05/15/2025. LPA will conduct COMP III during next visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, May 8, 2025

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.