Facility Evaluation Report

Licensing Program Analyst Shawna Doucette arrived at the facility unannounced to conduct a complaint investigation. During the course of the investigation LPA observed additional deficiencies. LPA met with Administrator Ria Loria.

Kitchen staff do not have training and facility does not have qualified staff to create a special diet for clients requiring a special diet per clients LIC602.

C1's LIC602 are not current and do not list a diagnosis. C2's LIC602 is from another facility. During the visit, Administrator contacted C2's doctor and obtained an updated LIC602. Facility is not following special diet requirements in LIC602.

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