Incident investigation·January 2, 2025

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Case Management visit to follow-up on an incident reported to Community Care Licensing. LPA met with Wellness Coordinator Jenna Purnell, and Executive Director Jonathan Wheeler and discussed the purpose of the visit. Community Care Licensing received an incident report on 12/18/24 in which it was reported that Resident #1s (R1) prescribed as-needed medication went missing from the facility. According to records and interviews on 12/9/24 Staff 1 (S1) accepted a delivery of Medication 1 (M1) from a courier. On 12/16/24, Wellness Coordinator was informed that M1 was missing from medication room. Interviews established that R1's medication on-hand was sufficient to provide R1 with medication without missing a dose. It was also revealed that incident was reported to medical provider, pharmacy and another government agency. Interview with R1 corroborated that R1 has not missed medication. During today's visit, LPA conducted a health and safety check of the residents in care and provided consultation. No deficiencies were cited during today’s visit. An exit interview was conducted with Executive Director Jonathan Wheeler. The Licensee was provided a copy of their appeal rights (LIC9058 03/22), LIC811, this report and their signature on this form, acknowledges receipt of these rights.