Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson conducted a case management visit on today's date for a health and safety deficiency found during the tour of the facility

The following deficiency was observed by staff and LPA:

Unlocked toxins under the sink in the memory care unit. The cabinet has a locking devise, however, it is broken and unable to be locked. The toxin were accessible to the four resident seated in the dining area unsupervised. There are 12 resident in the memory care area and two staff working on this date.

Deficiency cited on the following 809-D to Title 22 regulations.

Exit interview conducted and appeal rights discussed and given.

A copy of this report was left with the Lead/