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01.25.23 Corrective Action Agreement (Updated). OZ

  • Update: Additional support is needed, therefore, CAA agreed upon on 06/09/22 will be extended for a minimum of 6 months (07/25/23) up to 1 year.
  • The additional non-compliance areas have been cited during the past 6 months:
    • Section 103 (Central Registry and Criminal Record Checks) – Facility cited on 10/03/22.
    • Section 910 (Grounds) – Facility cited on 12/29/22.
    • Section 911 (Buildings) – Facility cited on 07/20/22, 11/17/22, 12/29/22, 01/19/23.
    • Section 912 (Bathrooms) – Facility cited on 07/20/22.
    • Section 907 (Ratio and Supervision) – Facility cited on 06/22/22, 10/03/22, 11/03/22, 11/23/22, 12/29/22, 12/29/22, 01/19/23.
    • R109.1.f (Unprofessional Conduct) – Facility cited on 12/27/22.
    • R109.1.g (Unprofessional Conduct) – Facility cited on 06/20/22, 09/01/22, 09/16/22, 10/03/22, 10/17/22.
    • R110.9 (Inspections, Investigations, & Corrective Action) – Facility cited on 10/03/22.
    • R110.12 (Inspections, Investigations, & Corrective Action) – Facility cited on 08/12/22, 08/16/22, 10/05/22.
    • R110.14 (Inspections, Investigations, & Corrective Action) – Facility cited on 06/20/22.
    • R110.17 (Inspections, Investigations, & Corrective Action) – Facility cited on 08/12/22, 10/07/22.
  • Facility is required to complete the revised corrective actions provided.
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