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13 | On 03/19/2026 at 9:56am, Licensing Program Analyst (LPA) Zina Brown conducted an subsequent visit at this facility to deliver the complaint investigation findings for the allegations above. During today’s visit, LPA met with Shiree McCutchen (Business Office Manager) and explained the purpose of the visit.
The investigation consisted of the following: On 02/18/2026 at 8:50am, Licensing Program Analysts (LPA) Zina Brown conducted interviews with Staff (S1-S10) & Residents (R1-R11), between the hours of 9:30am - 12:31pm and requested the following documentation: Staff Roster (dated 02/05/2026), Resident Roster (received on 02/18/2026), Resident 1's (R1), records such as Admission Agreement (dated 10/10/2025), LIC 601: Identification & Emergency Information (01/01/2026), LIC 602: Physician Report for Residential Care Facilities for the Elderly (RCFE) (dated 10/10/2025 & 09/19/2025) , LIC 603: Preplacement Appraisal Information (dated 02/18/2026), Service Plan (dated 02/18/2026), Reappraisal (for R1), Medication Administration Record (December 2025 – February 2026), LIC 624: Unusual Incident/Injury Report (dated 02/11/2026) and Staff Schedule (01/17/2026 - 02/04/2026).
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