Facility Evaluation Report

Licensing Program Analyst LPA Shawna Doucette conducted a Case Management to follow up on incident reports on 1/12/24 and 2/8/24. During the course of the visit LPA observed a deficiency that was previously cited and has not been corrected. LPA met with House Manager Joyce Brookins and discussed the purpose of the visit.

LPA observed a wall dividing two of the bedrooms for client privacy which was not fire cleared for either room. LPA cited for this violation during an annual on 12/13/23. LPA did not receive the plan of correction and observed the walls to still be up dividing the room.

A copy of this report with plan of correction and appeal rights were provided.