Follow-up on corrections·December 23, 2025

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Case Management - Deficiencies visit. LPA identified herself and discussed the allegation mentioned above with Resident Service Director, Marquetta Corbett. LPA was at the facility for complaint investigation, when a violation was observed. Upon arrival, there were no staff present at the front desk but staff were observed walking around. The medication room was located near the front desk and opened/unlocked. Medications were made accessible to anyone walking by the medication room. LPA observed ambulatory residents walking around, near the medication room. LPA stood in front of the medication room, waiting for staff to return. A medication technician arrived carrying a pitcher of water. LPA explained the medication room should be locked when staff are not present. The medication technician stated they were aware the medications needed to be locked, and apologized. A deficiency was observed and cited on LIC 809D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Resident Service Director whose signature below confirms receipt of these rights.