Follow-up·September 16, 2025

At 10:20 am, Tuesday, 9/16/25, Licensing Program Analyst, (LPA) Raymond Comer, arrived to conduct an unannounced case management visit. LPA met with facility Administrator, presented official CDSS badge identification, and stated the purpose of the visit to review facility's medical training documentation. At 10:40 am, LPA conducted a physical plant tour; no health and safety issues were observed. LPA requested copies of the Resident Roster, current LIC 500, and documents relevant to staff medication training requirements. LPA conducted a review of Facility's medical training for a total of ten (10) med tech staff. LPA requested copies of documents to verify completion of twenty four (24) hours of initial medication training, and eight (8) hours of in-service training on medication for each succeeding 12-month period. Facility Administrator agreed to scan and email the requested documents to the LPA by close of business on Wednesday, 9/16/25. An exit interview was conducted and a copy of the LIC 809 provided.