Incident investigation·April 8, 2025

On April 8,2025 Licensing Program Analysts, (LPAs) Rachel Bruce and Jimmy Duarte conducted an unannounced visit to the facility for the purpose of conducting a case management visit to discuss transportation issues that were recently brought to the attention of CCL. Specifically the transportation issue discussed was the impact of having limited staff with a class C license and still ensuring that appropriate and adequate transportation was provided to the residents. A review of the facility's admission agreement and residents handbook was recently conducted. It appears the language in the admission agreement is appropriate when discussing transportation indicating that the facility will arrange or provide medical transportation. However the language in the Resident Handbook dated 2014, is not accurate or up to date in relation to transportation provided by the facility. Administrator was in agreement and since discussion has made the appropriate changes to the document. LPAs reviewed today and agree with the changes. A copy will provided to all resident through their mailbox. LPA and AD also discussed the need for increased communication when there is a change that effects residents such as medical appointment transportation and transportation being more limited for outings. AD and LPA agreed that AD should attend the next resident council and address the transportation concerns that have been raised and make himself available to answer questions and address their concerns. No citations issued at today's visit or follow up needed.