Facility Evaluation Report

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced case management visit to follow-up on incidents reported to Community Care Licensing. LPA introduced herself and discussed the purpose of the visit with Assisted Living Director Yvonne Harmon .

On September 30, 2024, Community Care Licensing received two self reported SOC341-Report of Suspected Dependent Adult/Elder Abuse forms in regards to two separate incidents involving Staff 1 (S1), Resident 1 (R1) and Resident 2 (R2). [Assisted Living Director was provided with an LIC811 Confidential Names list to identify individuals].

During today's visit, LPA conducted a health and safety check and collected records.

An exit interview was conducted with Assisted Living Director Yvonne Harmon to whom a copy of this report and Licensee Appeal Rights (LIC 9058) were provided to.