Follow-up·August 12, 2022

On 08/12/22 at 8:45 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a case management visit. LPA was greeted by Staff #2 (S2). LPA explained the reason for the visit and contacted Administrator (ADM) Brittany White who said she'd arrive in about 30-45 minutes. LPA went to the facility to deliver an immediate exclusion letter and to verify S1 is not working at the facility. LPA spoke to ADM and she stated that the Licensee was working with some people to get cleared, but S1 does not work at the facility. LPA entered the facility and verified that S1 was not working. LPA delivered the documented letter(s) to ADM. No deficiencies cited on this date. Exit interview conducted. A copy of this report provided to ADM.