Facility Evaluation Report

Licensing Program Analyst (LPA) Darius Williams conducted a visit at the facility in response to a resident document received. LPA Williams met Administrator, Constance Peters and discussed the purpose of the visit.

LPA Williams reviewed medical assessments for Resident 1 (R1) and Resident 2 (R2), who are admitted to the memory care facility. R1's recent medical assessment was dated 1/14/2022 and R2's recent medical assessment was dated 5/23/22. Based on Title 22 regulation, R1's medical assessment had to be renewed by 1/14/2023 and R2's by 5/23/2023.

Administrator reported the medical assessment would be completed by 7/14/2023.

Based on record review a deficiency is being cited on the attached LIC 809-D page.

An exit interview was conducted and a copy of this report and appeal rights will be provided via e-mail.