Follow-up·September 7, 2023

Licensing Program Analyst (LPA) Bernadette Allen met with administrator Caroline Armstrong at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office on 09/7/2023 at 1:23 PM to initiate a Case Management Office Visit. LPA Allen requested that the Caroline Armstrong come to the office to sign an amended complaint investigation control number control number- 56-AS-20230824170032 that was conducted on 8/29/2023. During the investigation LPA spoke with Carolyn Armstrong who stated she had not faxed the completed LIC-624 regarding resident 1 leaving the facility on 8/22/2023. Caroline was informed of the reporting requirements on 8/29/2023. Carolyn Armstrong was called on 9/5/2023 to confirm if the LIC-624 was submitted to the office, she stated the form had not been submitted to CCLD. During the conversation Carolyn was informed again of the reporting requirements and she was informed she would be cited for not reporting the incident that occurred on 8/22/2023 with Resident 1 within 7 days of an incident occurring based on the reporting requirements. An exit interview was conducted where this report was discussed, and a copy of the report LIC809 and LIC809-D was provided to Caroline Armstrong at the conclusion of the visit.