Facility Evaluation Report

Licensing Program Analyst(LPA) Tricia Danielson arrived unannounced to conduct a plan of correction visit. LPA met with Executive Director(ED) Heather Scott and explained the purpose of the visit.

On 1/12/2023 during a visit for complaint control #18-AS-20230105162201 , the facility was cited for being in disrepair after being found to have an inoperable call light system.

LPA returned to the facility today to verify completion of the installation of the new call light system as indicated in the plan of correction. During today's visit, LPA observed the new call light system to be partially installed. ED Scott reported the call light company has ordered a new transponder after discovering the initial transponder was inadequate. ED Scott reported the company should be returning within a weeks time with the new transponder. ED Scott will notify LPA when installation is complete.

An exit interview was conducted and a copy of this report was provided.