Description: A licensee must do all of the following: (b) operate the community care facility in a manner that will promote (i) the health, safety and dignity of persons in care,

Corrective Actions Required: Ensure that the community care facility is operated in a manner that will promote the health, safety, and dignity of persons in care. Action/s Required by Licensee: Licensee to submit a corrective action plan to Licensing specific to the contravention. Action/s Required by Licensing: On October 7, 2025, Licensee submitted a corrective action plan to Licensing. The corrective action plan included: On October 3, 4, and 6, 2025, education on documentation was provided to staff, with a focus on proper documentation procedures for activities of daily living, specifically for recording baths and showers, signing entries with initials, and documenting refusals from persons in care appropriately. The corrective action plan was reviewed and accepted by Licensing.

Corrective Actions Taken By Licensee:

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

To Be Corrected By: November 21, 2025

Observations: Regarding intake dated August 12, 2025. Through the investigation process, Licensing determined that the Licensee did not operate the community care facility in a manner that promoted the health, safety, and dignity of persons in care. Specifically related to documentation related to bathing.