Licensing Specialist: Jarred Parnell.
A corrective action visit was conducted to discuss implantations and updates in regards to the corrective action agreement. Staff provided an updated employee list on 8/2/23 for staff receiving regulatory checks and EOC walkthrough checks conducted for maintenance concerns. Self-harm practices and prevention were discussed, including adding a layer of padding to the seclusion room. Staff trainings and orientation process was discussed, and the facility has implemented a staff to peer support group twice a month to voice concerns.
A facility walkthrough was conducted in regards to shower maintenance and to inspect resident units. Facility cited 911.15: A pair of pants with drawstrings was found in the Blue Unit.