Facility Evaluation Report

On 2/6/24, Licensing Program Analyst (LPA), Kevin Mknelly, Regional Manager, Alycia Rayner and Licensing Program Manager, Maribeth Senty were present for a Non-compliance Conference via Microsoft Teams today with Mike Zueg, Zachary Butcher, Nathan Condie, Jessica Sanders and others who the licensee requested.

This meeting was called due to significant deficiencies noted at the facility from May 2024 to Present.

Topics discussed during this meeting were:

· Incidental Medical and Dental Care Services violations

· Internal and external communications systems and audits

· Observation of Resident-change in condition procedures for administrator and staff.

In today's meeting, the licensee agreed to the drafted non-compliance plan as outlined in LIC 9111.

A copy of this report will be provided to the facility via email. A copy will be signed and returned to CCLD.