Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced Case Management visit today at the facility. LPA was following -up on multiple incident reports regarding aggressive acts and a fall by Consumers/Clients against Staff and other residents.

During visit LPA Johnson reviewed records for R1, R2 and R3 and interviewed the Program Director about events related to resident's program plans including IPP (Individual Program Plan) and behavior intervention plans. The IPP's for all residents reviewed are outdated or missing current information. R1's IPP has not identified a day program. R2's IPP is outdated from 5/2024 there are three request for a current IPP to VMRC and R3's IPP has an identified Restricted Health Condition that is no longer in use and needs to be removed from IPP.

The program will update the IPP's were needed and has reported information as required.

No deficiencies were cited during this visit. Advisories given. Exit interview held