Facility Evaluation Report

A Noncompliance Conference (NCC) was conducted today on 04/23/2025, via Microsoft Teams. The purpose of the NCC was to discuss the Substantiated complaint of a violation of personal rights. Present at today’s NCC were the Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Charlie Yang, and facility designated Administrators Melinda Womble and Sherry Hylton, Katina Richison, and Brian Bennett from Valley Mountain Regional Center (VMRC). The administrative process was explained during this meeting and the facility designated Administrator was informed that further citations may result in Administrative Action.

Facilities Policies and Procedures regarding 911 intervention

Oversight of facility staff for proper care and supervision

Updating policies and procedures for resident fall risks

Facility agreed to TSP referral and assistance

Facility designated Administrator to be present at least 40 hours/week