Follow-up on corrections·October 28, 2022

Licensing Program Analyst (LPA) Ashley Smith conducted an unannounced Case Management- Deficiencies inspection at the facility today due to deficiencies observed during the investigation of complaint control # 29-AS-20220610141057. During the initial visit conducted on 06/20/2022, the LPA observed several areas in which there appeared to be a ‘hole’ or a noticeable dip in the flooring. The licensee was cited for 87303(a) Maintenance and Operation, and the licensee required to communicate a plan of action regarding the floor repairs, as it was highlighted as an extensive project. On 07/01/2022, the Executive Director communicated a tentative plan that the repairs would begin in August or September of 2022. It was noted that the licensee planned to remove the carpet, refinish the subfloor, and place new flooring over the subflooring. As of today, the project has not begun. Today, the licensee will be re-cited under 87303(a) Maintenance and Operation. The licensee will send a layout of the building, indicating the flooring sections that will require repair no later than 11/9/2022. At this time, the licensee will have until 11/28/2022 to complete the project. If the licensee requires an additional thirty (30) day extension, the request for a thirty (30) days extension will need to be communicated before 11/28/2022. At this time, if an extension is requested, the flooring project will need to be completed by 12/28/2022. Failure to correct the deficiencies may result in additional civil penalties due to failure to correct. See 809-D for deficiency. Exit interview conducted. A copy of the report was issued.