Inspection Details

Inspection #
INSP-0074484
Inspection Date(s)
11/2/2023
Status
Complete
Inspection Type
Compliance (Annual)
Worksheet Type
Assisted Living Home
Certificate Number
AL11870H
Location Type
โ€”

Initial Comments

The following deficiency was found during the on-site compliance inspection conducted on October 2, 2023:

Statement of Deficiency

1 deficiency found
Deficiency #1
✓ Plan Provided
Rule
E. A manager shall ensure that: 2. A calendar of planned activities is: a. Prepared at least one week in advance of the date the activity is provided,
Evidence
Based on observation and interview, the manager failed to ensure a calendar of planned activities was prepared at least one week in advance of the date the activity was provided. Findings include: 1. During an environmental inspection of the facility with E1, the Compliance Officer observed the posted activity calendar. The activity calendar was dated August 1, 2023 - August 30, 2023. 2. In an interview, E1 acknowledged a calendar of planned activities was not prepared at least one week in advance.
Plan of Correction
Permanent Correction Date
2023-11-02