Facility Evaluation Report

LPA conducted an unannounced case management visit to this facility to follow up on the incident occurred on 01/12/2022 wherein Resident #1 (R1) went to the neighbor and destroyed some property. LPA conducted physical plant tour at around 12:45 PM and interviewed the administrator at around 1:15 PM.

During the tour, LPA observed that the fence which was destroyed by R1 is now repaired and was repaired by a contracted repairman of the administrator. LPA interview with the administrator also revealed that this facility is a level 3 vendored facility but R1 had a one on one (1:1) staff from 9:00 AM to 1:00 AM everyday seven (7) days a week. Further interview also revealed that R1 is medication compliant but had this episode every three (3) months or so. Administrator agreed to have R1 re assessed and re evaluated to ensure that R1 is appropriate for this facility. A follow up visit may be done on a later date to follow up on this issue.

There was no health and safety issue observed during this visit.

Exit interview conducted. Copy of this report.