Description: A licensee must do all of the following: review and, if necessary, revise the policies and procedures at least once each year

Corrective Actions Required: Ensure that all policies and procedures at least once each year.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: June 1, 2026

Observations: Licensing audited the policies and procedures for the facility and observed that all required policies had not been reviewed in the past year.