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- Licensing Specialist: Michele Sutton.
- Licensing completed visit and observed all units within ratio and all residents within LOS of staff. All bedrooms and dayrooms were viewed with no safety hazards noted. Tiles in room 205 and 305 have been repaired. The grounds remain out of use until the roofing project is completed.
- Facility provided a list of new hires for January 2023 as per CAA requirements and confirmed they no longer use temporary staffing agencies.
- Licensing followed up on recent self-harm incidents and reviewed safety plan for client who reported hiding contraband behind her bed; Contraband was removed, and facility implemented regular room searches on units. CEO is in process of training all staff on how to complete a thorough room search. Other incidents involving fingernail scratches are being addressed by staff re-training on de-escalation, ensuring residents are engaged throughout the day, and standing orders to trim/cut resident fingernails as needed.
