complaint·March 20, 2023

On March 20, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced in order to deliver the findings on the listed allegations. LPA Mixson met with Business Office Manager, introduced self and stated the purpose of the visit. On March 30, 2020, Community Care Licensing (CCL), received information regarding the listed allegations. Information obtained revealed facility has a mitigation plan on file. LPA Mixson attempted to conducted interviews, due to staff failure to return calls and/or to answer calls when LPA Mixson attempted to call, there was not sufficient information obtained to determine if the listed allegations happened. LPA Mixson conducted record reviews in order to obtain additional information in order to conduct an investigation. Information obtained revealed that the facility has a centralized staff check in and temperature check. The facility has a plan in place to limit the spread of COVID 19 and/or other contagious infections. After LPA Mixson's assessment of evidence collected there was not enough evidence to determine that the listed allegations occurred. Therefore, the outcome of the findings is UNSUBSTANTIATED. The outcome of the investigation has been concluded with a finding of UNSUBSTANTIATED. A finding of "Unsubstantiated" means "although the allegations may have happened, or are valid there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was given to Business Office Manger.