Complaint·November 6, 2025

Citations

7 citations recorded^*CCLD

• 1569.312(d)Type A

  Basic services requirements. Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement is not met as evidenced by: Based on interviews, the licensee did not know the whereabouts of 1 out of 4 [R1] residents, which posed an immediate health and safety risk to residents in care.

• 1569.317Type B

  Absentee notification plan for missing residents. Every residential care facility...resident is missing from the facility...plan shall include...administrator...inform authorized representative...notify local law enforcement...is missing from the facility. This requirement is not met as evidenced by:Based on interviews and record review, the licensee did not ensure 4 out of 4 [R1-R4] residents had an absentee notification in their written record of care, which posed a potential health and safety risk to residents in care.

• 87202(a)Type A

  Maintain fire clearance before retaining specified persons

  Fire Clearance. All facilities shall maintain a fire clearance approved by the city...or the State Fire Marshal. Prior to accepting or retaining...obtain an appropriate fire clearance...or the State Fire Marshal. This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not comply with their fire clearance, by using a padlock to lock the front door, enabling residents to exit for 4 out of 4 [R1-R4] residents, which posed an immediate health, safety and personal rights risk to residents in care.

• 87211(a)(1)Type B

  Report specified resident events within seven days

  Reporting Requirements. A written report shall be submitted to the licensing agency...of any of the events specified in (A) through (D) below. This report shall include...date and nature of event...findings, and treatment, if any; and disposition of the case. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not report an incident for 1 out of 4 [R1] residents, which posed a potential health and safety risk to residents in care.

• 87309(a)Type A

  Ensure hazardous items are locked and not unattended

  Storage Space and Access. Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions...tools, sharp objects...are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by:Based on observations, the licensee did not ensure cleaning supplies and tools were inaccessible to 4 out of 4 [R1-R4] residents, which poses an immediate health and safety risk to residents in care.

• 87463(h)Type B

  Annual routine visit with medical professional

  Reappraisals. The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months, either in person or by video appointment. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not obtain an annual routine medical visit for 2 out of 4 [R1-R2] residents in care, which posed a potential health and safety risk to residents in care.

• 87465(h)(2)Type A

  Store centrally held medications in locked secure place

  Incidental Medical and Dental Care. The following requirements shall apply to medications which are centrally stored:Centrally stored medicines shall be kept in a safe and locked place that is not accessible... supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observations, the licensee did not centrally store medications making them accessible to 1 out of 4 [R1] residents, which posed an immediate health and safety risk to residents in care.