Facility Evaluation Report

Licensing Program Analysts (LPA) Tihesha Smith conducted a Case Management Deficiencies visit in conjunction with a complaint to address deficiencies observed during the investigation of complaint control # 31-AS-20230227123033.

At approximately 10:30 am LPA Smith conducted physical tour. LPA observed a convertible couch made up as a bed with blankets, linens and pillow in the kitchen area. Staff #2 (S2) removed linens and put convertible couch in seating position. LPA interviewed staff from 11:00am -1240 pm. Per interviews (S2) stated they use the bed in the kitchen to sleep sometimes.

A deficiency is cited on an LIC 809-D page.

Exit interview was conducted, appeal rights and copy of report issued.