Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley made conducted a case management visit regarding information discovered during the investigation into complaint control # 22-AS-20230404094217.

During the complaint investigation mentioned above, it was discovered there were incidents involving aggressive behavior displayed by Resident 1 (R1) that were not reported to the department. The incidents took place in March 2023 and there is no evidence of any of the incidents were reported to the department as required.

As a result of todays visit, a deficiency will be cited during today's Case Management visit.

An exit interview was conducted and a copy of this report, LIC809D, LIC811, and appeal rights were provided.