Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced visit to this facility to initiate an investigation of complaint number: 56-AS-20240116135003. LPA met with Administrator, Shanellreya Knowles.

During today's visit, LPA conducted interviews with residents, staff, obtained and reviewed facility records, and did a walk-through of the facility. LPA found the following issues:

Staff #4 (S4) working in the facility without criminal background clearance.

Insufficient quantity of linen to permit changing once a week or more often when necessary.

Insufficient detergent and necessary supplies needed for laundry operation.

These pose an immediate and potential health and safety risk to residents in care. Refer to LIC 809D for deficiencies cited.

An exit interview was conducted where this report, LIC809D, LIC421BG and appeal rights were discussed with and provided to Administrator, Shanellreya Knowles.