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-20240911144412. LPA met with Administrator, Carolyn Taylor.

During today's visit, LPA conducted interviews with staff, obtained and reviewed facility records. LPA found the following issue:

Facility staff did not submit a written report of unusual incident which threaten the physical, or emotional health or safety of any client.

This poses a potential health, safety or personal rights risk to persons 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 Administrator, Carolyn Taylor.