Follow-up·January 4, 2023

Licensing Program Analyst (LPA) Kayla Hilario conducted an unannounced Case Management Visit. LPA was allowed entry by the receptionist. LPA met, identified herself to, and discussed the purpose of the visit with Administrator Valorie Adams. Executive Director Christopher Burk arrived during the visit. Today's visit is in response to the self-reported incident which occurred on 11/2/2022 regarding the fall of Resident 1 (R1). R1 was holding onto Resident 2's electric scooter when R1 fell (R2 - see LIC811 Confidential Names List for explanation of R1 and R2). Staff present did not witness the fall. R1 has been advised not to hold onto anyone's electric scooter. LPA conducted a wellness check at the facility, and no health or safety issues were identified. Residents observed appeared appropriate for the facility. No deficiencies were cited or observed on this date. An exit interview was conducted with the Executive Director Christopher Burk. A copy of this report and appeal rights (LIC9058 03/22), were provided via hardcopy.