Facility Evaluation Report

On 09/17/25, Licensing Program Analyst (LPA) Yang arrived unannounced conduct a Case Management visit. LPA knocked on the door and rang the doorbell with no answer. LPA contacted Administrator Terrence Hardge via telephone who stated there are no clients currently at the facility. Administrator stated unable to attend meeting. LPA discussed the purpose of the visit via telephone with Administrator.

The purpose of the today's visit is to address a medication error. On 09/25/25, the facility reported staff was assisting Client 1 (C1) with self- administering medications when Client 2 (C2) was walking by and quickly grabbed and took C1’s medications. Staff training and proper procedures is being in place after the incident.

The information provided will be reviewed; a follow up case management will be conducted if necessary.

An exit interview was conducted via telephone with the Administrator. Signed report on file.