Facility Evaluation Report

LPA Albert Johnson made an unannounced visit to the facility to open a complaint and to verify that the facility has an administrator to replace the current administrator who's last day of work as the administrator was 1/12/2024.

The facility has identified an interim Administrator(No documents sent to the department . The facility has not provided the required documentation to the department to assist with the transfer of administrator's responsibilities and will be given a citation today.

Based on records reviewed and interviews with S1 on 1/16/2024 the facility does not have an Administrator of record. S1 is working here on an interim bases until the permanent administrator's including documents/information is forwarded to the department.

The department was unable to confirm through Licensing Information System that interim Administrator is associated to this facility as of 1/16/2024.

Exit interview conducted, a copy of this report and appeal rights given.