1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst(LPA) Tricia Danielson arrived unannounced to conduct a plan of correction visit. LPA met with Executive Director(ED) Heather Scott and explained the purpose of the visit.
On 1/12/2023 during a visit for complaint control #18-AS-20230105162201, the facility was cited for being in disrepair after being found to have an inoperable call light system.
LPA returned to the facility today to verify completion of the installation of the new call light system as indicated in the plan of correction. During today's visit, LPA observed the installation of the new call light system to be fully completed and operational. LPA met with staff and observed each staff are equipped with pagers which notify them of an activated alarm. Residents were observed to be wearing alarm pendants and LPA activated one resident's pendant to verify an operational system. The POC has been met.
An exit interview was conducted and a copy of this report was provided along with a letter of deficiency cleared. |