Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived for an unannounced Case Management visit to the facility today in response to an incident that occurred on 9/3/2022. The LPA met with Assistant Administrator Janyce Pink and explained the reason for the visit.

During today's visit, the LPA conducted an interview with the Assistant Administrator and reviewed the staff schedule.

It was reported that Staff #1 (S1) allegedly left the facility during the very early morning of 9/3/2022, (at approximately 1:00 a.m.) leaving the facility residents unattended with no other staff present for approximately 90 minutes. The information received reported that S1 was the only night shift (NOC) staff who had arrived for duty. S1 attempted to contact the licensee representative before leaving the facility; however, the administrator did not respond to the call and S1 needed to leave the facility as they had a family emergency. S1, not knowing what to do, then contacted the Long-Term Care Ombudsman (LTCO) prior to their departure to notify them of the situation. The LTCO contacted Law Enforcement who arrived at the facility to find that there were no staff present in the facility. Law enforcement was able to eventually reach the owner, who then arrived at the facility, along with the assistant administrator, at approximately 2:30 a.m. and arranged for other staff to cover the shift. The Department/Program Administrator received information that the facility was without staff and also spoke with the President/Owner, Tillman Pink Jr., after his arrival to the facility.