- Licensing Specialist: Chelsea Vardell.
- No site visit conducted. Licensing received 3 notifications of self-harm incidents after business hours on 02/03/23 that occurred on 01/31/23.
- Regs out of compliance –
- 109.1.f – Facility failed to comply with the current Corrective Action Agreement, requiring all self-harm incidents be reported to Licensing by the next business day (3 incidents on 01/31/23).
