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-20260519100155. LPA met with MedTech Supervisor, Darcy Poua. Darcy phone called Administrator and handed the cell phone over to LPA. LPA introduced self to Administrator and informed him about the purpose of the visit. Administrator stated that staff present did not have access to LPA requested documents like personnel files, detailed staff schedule, resident roster, facility sketch, etc. Administrator stated that he was the only one with access and was currently far away from the facility and was not going to be able to provide the requested documents to LPA. Administrator stated that he will email the unavailable documents to LPA on the following day. LPA informed Administrator about a deficiency being issued for records unavailability.

During today's visit, LPA reviewed limited facility records, and did a walk-through of the facility. LPA found the following issue:

Staff present did not have access to the LPA requested documents due to Administrator not being present and only having access.

This poses an immediate health and safety risk to residents in care. Refer to LIC 809D for deficiency cited.

An exit interview was conducted where this report, LIC809, LIC809D, and appeal rights were discussed with and provided to Darcy Poua.