Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola and Licensing Program Manager (LPM) Carolyn Tuba conducted an unannounced Case Management Visit. LPA met with Administrator, Armond Hagan Jr., who was informed of the purpose of the visit. LPA contacted the licensee's husband during the visit. LPA conducted a walk through, interviews, and records review.

During the visit wit was revealed that (1) resident had expired and discontinued medications that were not disposed of. LPA also requested a prior staff's file who had worked at the facility per the Administrator and the Licensee's husband (7) months ago. The administrator was able to produce some documentation for the staff but the file was incomplete for the prior staff member. Therefore the facility was cited for these violations and a plan of correction was created with the Administrator.

An exit interview was conducted with the Administrator where this report, the appeal rights and the LIC809-D page was reviewed and provided.

*LPA and LPM were off site to prepare this report from 10:44am to 12:30pm.