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- Licensing Specialist: Chelsea Vardell.
- Facility visited from 1pm – 4:30pm. Census: 28. Licensing completed a background check review of 20 staff. Background checks prior to the new HR director beginning in June 2022 were seen missing or not done in the correct timeframe. This issue was already previously addressed by licensing. Licensing also reviewed the incident notification log for incidents from 10/6/22 – 10/19/22, the restraint log for restraints from September and October 2022, and nightly visual observation logs of residents from the green unit for the past 2 weeks.
- Licensing also completed a courtesy follow-up with a resident, who stated he sleeps in the dayroom on a mattress and is not allowed to have his own room. Licensing spoke with staff, who stated the resident was sleeping in the dayroom due to sexualized behavior towards others. The resident has since been placed in his own room with no roommates.
- TA –
- 103.10 – The background checks for the new CEO were not in his personnel file for review.
