Facility Evaluation Report

At approximately 9:20 Licensing Program Analysts (LPAs) Helena Rummonds and Caitlynn Felias arrived unannounced to conduct a case management inspection. LPA was greeted by Administrator, Cleda Odiwe, and discussed the purpose of the visit.

LPAs returned to the facility for the purpose of amending a document from a visit dated 11/02/2023. This document requires amending due to the use of the improper civil penalty form. LPA is also following up on a death report dated 10/26/2023 that was received by CCL on 11/20/2023. This was received by Community Care Licensing (CCL) over the 7 days as required by regulation 87211 (Technical Violation issued, see LIC9102).