Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a Case Management visit regarding a self-reported incident regarding client C1. LPA met with North Star #1's registered nurse Kelly Arent and Dr. Backstrom. Administrator Jacqueline Hicks was out of the facility. There were 3 clients on site at the time of visit and 10 staff on site.

The report involves concerns of abuse and neglect of C1. An internal investigation revealed that there was no abuse or neglect. C1 has substantial behaviors which make care multi-layered, including caregiving, behavior management, medical supervision, as well as parental support. LPA reviewed records that indicate that C1 is receiving multi-leveled supportive care with constant supervision and revision to C1's care plan as needed. LPA observed C1 resting in bed, and from what could be observed, was clean and comfortable. C1 responded to LPA that they were comfortable. C1's room was clean, well-maintained, with many personal belongings that provide C1 with personal satisfaction and comfort.

LPA found the facility to be clean, sanitary and well-maintained. LPA observed two other residents who also appeared to be well-cared for; clean, appropriately dressed and engaged with their support staff.

LPA found no concerns for the safety or well-being of the clients in care.

No deficiencies were found at the time of inspection. No citations issued.