Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 11/18/2023. At 2:08 p.m., the LPA met with the Administrators.

At 2:10 p.m., the LPA conducted a brief physical plant tour to ensure there are no health and safety hazards.

RECORD REVIEW: Between 2:20 p.m. and 4:36 p.m., the LPA conducted a file review for all clients and staff regularly scheduled and observed the following: Staff have current first aid and training documentation showing required training completed. Client records were reviewed for, but not limited to current IPP, care plans, medical records, admissions agreement, and consent forms. All files were in order.

At 4:45 p.m., the LPA conducted a review of medication and medication documentation with the Administrator for two (2) clients and observed that all medications were properly documented and assisted as prescribed.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.