Facility Evaluation Report

Licensing Program Analyst (LPA) Stephanie Williams made an unannounced visit to the facility in order to deliver findings for complaint control #18-AS-20210818110654. LPA met with House Manager, Shanell Knowles, and discussed the purpose of the visit.

During the complaint visit, LPA Williams discovered that an incident report was not submitted to the appropriate Community Care Licensing Division regional office for confirmed carbon monoxide exposure in the facility. There were approximately 4 clients in the facility at the time of the incident. LPA interviewed Knowles who stated that an incident report was not sent to the office. LPA reviewed the office duty log which did not show incident report submitted by facility. A deficiency will be issued for reporting requirements.

An exit interview was conducted where this report was discussed and a copy was provided to the House Manager.