Description: A licensee must do all of the following: ensure that policies are implemented by employees.

Corrective Actions Required: Ensure that policies are implemented by employees. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On January 13, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included that staff were instructed on proper laundry procedures on December 4, 2024, and Licensed Practical Nurses (LPNs) would audit daily for compliance and document daily until April 9, 2025, then weekly ongoing. The corrective action plan was reviewed and accepted by Licensing. Licensing to review and monitor the corrective action plan.

Corrective Actions Taken By Licensee:

Actions Required By Licensing: Follow Up Inspection to be conducted.

To Be Corrected By: April 9, 2025

Observations: Through the investigation process, Licensing determined that Laundry Collection policies were not implemented appropriately by employees.