Follow-up on corrections·August 4, 2022

On 8/4/22022 at 11:05 am, Licensing Program Analyst (LPA) Darlene Chavez conducted an unannounced complaint investigation visit to the facility listed above. LPA met with Administrator Kirk Klotthor and explained the purpose of the visit. On 7/28/2022 at 10:35 am, LPA visited the facility to investigate a complaint. During the investigation, it was found that the facility had a fire in the laundry room in July 2020 and it was not reported to CCL. LPA interviewed staff who stated the fire was due to a faulty dryer and that the sprinkler system put out the fire immediately. Staff explained that the fire department was called, however, they did not need to put out the fire because the sprinkler had already diffused it. Maintenance staff stated they contacted the Executive Director and reported the incident shortly after it occurred. Staff stated there was no threat to residents in care. On 7/29/22 at 6:02 pm, Vice President Lisa Hulse informed LPA that there was no Incident Report (LIC 624) on record for the fire. The facility did not report an incident that is required to be reported to CCL, specifically “fires and explosions.” Deficiency cited on 809-D. Exit interview conducted, deficiency cited, and a copy of the report and appeal rights emailed to the Vice President and Administrator.