complaint·July 29, 2021

On 7/29/21 Licensing Program Analyst (LPA) Shaunte Henry conducted an unannounced visit for the purpose of delivering the findings to the above allegations. The LPA met with Executive Director (ED) Jack Poyfair, explained the nature of the visit and was granted entry into the facility. The investigation, which consisted of interviews and document reviews revealed the following: An interview with the ED revealed that staff was insufficient due to COVID. During the peak of the COVID-19 epidemic, a lot of staff contracted the illness. The ED took the necessary precautions to employ staff from outside agencies, however there was a shortage there as well. The ED also reached out to Community Care Licensing for assistance. Based on the LPAs record review and interviews, which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. An exit interview was conducted where this report, LIC 811 and appeals rights were provided to the ED.