Facility Evaluation Report

On 8/01/23 at 9:19 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit to the facility in conjunction with a Case Management visit. Upon arrival LPA met with staff S1 who called the Administrator Tranae Gatlin and Program Manager Christopher Young to explained the purpose of the visit. Program Manager Christopher Young arrived at 11:00 and joined the visit.

During today’s visit LPA toured the facility with staff S2. LPA obtained resident roster, staff roster, pictures of property damage, pictures of R1’s injuries and a photo of the thermostat. LPA also interviewed: Program Manager Christopher Young and a total of two (2) staff who shall be referred to as S1, and S2. LPA attempted to interview a total of 3 residents who shall be referred to as: R1 through R3. Due to the residents limited communication LPA was not able to use resident’s interviews. LPA was unable to conduct file review due to the administrator being unavailable and have the keys that access the files.

During the investigation LPA interview S1 and S2 who both stated they work with a registry. They stated they have been working on an off at the facility for a year. LPA reviewed association list and observed both staff was not associated to the facility. LPA interviewed Program Manager Christopher Young via telephone and confirmed both staff are not associated, and the facility may have an exception for registry staff. Program Manager arrived at 11:00 and was unable to provide proof of exemption for registry staff.

Exit interview was conducted with program Manager Christopher Young, a copy of this report, 809D and appeals rights was provided.