Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted a case management visit after discovering deficiencies during a complaint investigation for control number: 28-AS-20220811150320. Client 1 (C1) has his medication unlocked in his room. C1 shares his room with another client. The administrator has the other 5 clients' medication locked. C1 states he is able to self-administer his own medication, but there is no physician report for C1 in his file to determine if C1 is able to self administer his own medication.

The deficiencies cited are documented on the LIC809D. Exit interview held and a copy of the report and appeal was provided.