Incident investigation·August 17, 2022

On the above noted date and time Licensing Program Analyst (LPA) Diana Brasel arrived at the facility in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 08/09/2022. It indicates that there was information brought to the licensee's attention. Upon receiving the information the licensee acted appropriately by reporting the information to the appropriate agencies. On this date a tour of the facility was conducted, facility records were reviewed, information was gathered, interviews conducted, and documents obtained. Based on information gathered, the facility acted appropriately, and no violations have been identified. An exit interview conducted, and appeal rights were reviewed with the licensee. A notice of site visit was given and must remain posted for 30 days, failure to comply with posting requirements shall result in an immediate civil penalty of $100. A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years.