Facility Evaluation Report

A Noncompliance Conference (NCC) was conducted today on 03/01/2024, 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 Office Manager Stephenie Doub, Licensing Program Manager (LPM) Liza King, Licensing Program Analyst (LPA) Charlie Yang, and facility designated Administrator, Jose Ventura, Kathy Lazernik (Facility Nurse), Cindy Scheublein (Executive Director) . The administrative process was explained during this meeting and the facility designated Administrator was informed that further citations may result in Administrative Action.

Personal Rights training and verification

Oversight of facility staff for proper care and supervision

Updating policies and procedures for resident fall risks

This facility and the facility designated Administrator agreed to the following:

Complete and submit the LIC 500 for the most current staff, shifts, and coverage for designated shift leads

Complete and submit the LIC 309, as well as, the most updated documents from the Secretary of State filing for this corporation