Facility Evaluation Report

At approximately 10:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a case management visit in regards to several unusual incident reports submitted to CCL. LPA met with Administrator Kim Johnson, toured the facility and reviewed records.

#1: During medication administration, a medication was dropped and became unusable. LPA reviewed medication procedures with Administrator and found the facility policy was within regulation.

#2: Staff were knocking on the door to Clients room and there was no response. After several attempts, staff used the master key to enter the room to ensure the safety of the client. Upon entry, Client was found to be safe. Client was upset with staff and was ignoring them was the reason given for not opening the door. Client accused staff of sexual abuse because they used the key to enter the room. Staff informed client that they entered because there was no answer and they feared for the safety of the client.