Facility Evaluation Report

Regional Manager (RM), Licensing Program Manager (LPM) Brenda Chan, and Licensing Program Analysts (LPA's) Sarah Hurt conducted a Case Management (Office) visit. RO, LPM, and LPA met with facility Administrator Jessica Johnson and explained the purpose of today's visit.

LPA observed Resident 1's medications pre poured in a labeled weekly medication dispenser.

LPA requested records for Resident 1 during a Case Management visit to the facility on 09/12/2023. Licensee Jessica Johnson stated she does not have a file for Resident 1 “because she is new.”

LPA requested the file for Resident 1 be provided by 09/15/2023. Licensee has not provided the file for Resident 1.

Licensee submitted staff training documents

Due to Technical Difficulties this report was not signed by Licensee Jessica Johnson during the visit.

The following Deficiencies are being cited Per Title 22 Regulations.

Exit interview conducted with Licensee Jessica Johnson, and a copy of this report provided.