Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct a case management – legal/non-compliance visit. LPA met with General Manager (GM), Billy Mitchell and Health Services Director (HSD) Jocelyne Bailon Saloche. The purpose of the visit to ensure the facility is adhering to the compliance plan submitted to Community Care Licensing (CCL) after a non-compliance meeting held on June 13, 2024.

During visit, LPA toured the facility with staff to include garden house (aka memory care), plaza, common areas, and the courtyard. There were 9 staff members total on schedule during the PM shift in Prom, Plaza, and Garden House. 9 out of 9 staff members are fingerprint cleared and associated to the facility.

In Garden House, LPA randomly entered into rooms 101A, 102A, 103, 110, and 115 with the Garden House Director and HSD. All the cabinets observed secured. No observation of accessible sharp objects, chemicals, disinfectants, and hygiene products to residents in care.

In Plaza, LPA randomly entered into rooms 207, 210, 211, 212, and 203 with the HSD and GM. No issues were noted. Residents who store their own chemicals, disinfectants, and medications are able to store these items per their physician's report/records.