Facility Evaluation Report

Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the facility and met with Administrator Constance Peters. The purpose of this visit was to discuss an incident reported to Licensing on September 26, 2024. LPA Boyd arrived at the facility at 8:40 AM and staff advised LPA that they will call Administrator, staff advised that Administrator is on her way.

The Incident Report provided to Licensing stated that a staff used inappropriate language when speaking to a resident in care. Additional information in the form of a copy of a letter that was sent to the employee, stating that they were releasing her and she was being terminated.

LPA reviewed the terminated staff's file, which included the training records and a signed copy of the Resident Rights. Administrator told LPA that they had completed an investigation of the staff as soon as the allegation had come to their attention. Administrator stated that, although she was unable to determine if the events had occurred, she felt it was best policy to terminate the staff, as they do not condone this type of behavior.

LPA interviewed staff mentioned in the Incident Report submitted to Licensing. In addition to speaking with Administrator, three staff were interviewed in person and one was called on the phone, and terminated staff was called as well; all during my visit.

LPA conducted exit interview with Administrator.

Citation issued on this day for personal rights violation.