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Inspection Date(s): February 12, 2007

Inspection Type: Annual Licensure

Deficiencies were reported in the following areas:

• 4.17 - Relevant Staff Training
• 5.16 - Interdisciplinary Team Defined
• 5.17 - Support Coordinator Responsibilities
• 5.18 - Actions Determined by Monthly Review
• 9.10 - Three-Day Supply of Medication
• 9.11 - External vs. Internal Medications

Final Outcome:

• Not All Corrections Made in Timely Manner
• Recommendation for 90-Day Provisional License

Update:

• Home surveyed again on June 13, 2007
• Corrections Made
• Recommendation for License Renewal

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