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-20240729153737. LPA met with Administrator, Eddie Bickham.

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:

Personnel records not available for inspection.

Not reporting an unusual incident that threaten the emotional health or safety of a client.

Personnel not reporting observations or evidence of violations of any of the personal rights.

Personnel making false or misleading statement about any of the services provided by the facility.

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 LIC809, LIC809D, and appeal rights were discussed with and provided to Administrator, Eddie Bickham.