7 Reports
Inspection Report — Nov 17, 2025
Renewal
Date: Nov 17, 2025
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was determined to be in substantial compliance with rules and requirements.
Report Facts
License length: 2
Inspection Report — Feb 19, 2025
Complaint Investigation
Date: Feb 19, 2025
Visit Reason
Investigation of a complaint received on 2025-02-18 about medication administration.
Complaint Details
Staff did not administer Resident A’s Norco medication as prescribed for pain: established.
Findings
One rule violation was established regarding failure to administer prescribed medication to Resident A.
Deficiencies (1)
R 400.15312 Resident medications: direct care staff did not administer Resident A her Norco medication as prescribed for pain from 2/4/2025 to 2/12/2025 due to medication not being available at the facility.
Report Facts
Corrective action plan due: 37
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Alexis Craft | Direct care staff member | Named in the medication administration deficiency and disciplinary notice |
| Lomachia Cox | Direct care staff member | Named in the medication administration deficiency and disciplinary notice |
| Hailey Nichols | Direct care staff member | Named in the medication administration deficiency |
Inspection Report — Jan 5, 2024
Complaint Investigation
Date: Jan 5, 2024
Visit Reason
Investigation of a complaint received on 2024-01-04 about medication administration and staff competency.
Complaint Details
Resident A was given all his PRN medications: not established. Direct care staff, Cheryl Harrison, doesn’t know how to give medications: not established. Additional findings: medication documentation incomplete — established.
Findings
One rule violation was established related to medication documentation. Two allegations were not established.
Deficiencies (1)
R 400.15312 Resident medications: direct care staff Rachel Ignasiban did not document the time and date when she administered a dose of Morphine to Resident A despite initialing the medication was administered.
Report Facts
Corrective action plan due: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Rachel Ignasiban | Direct care staff | Named in the medication documentation deficiency |
Inspection Report — Dec 7, 2023
Renewal
Date: Dec 7, 2023
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was found to be in non-compliance with 4 rules; a written corrective action plan was required and approved.
Deficiencies (4)
R 400.15203 Licensee and administrator training requirements: Administrator Laurel Space was not able to provide 16 hours of trainings completed for the department review.
R 400.15205 Health of a licensee, direct care staff, administrator, other employees, those volunteers under the direction of the licensee, and members of the household: Administrator Laurel Space was not able to provide written verification that she has been tested for communicable tuberculosis every 3 years.
R 400.15205 Health of a licensee, direct care staff, administrator, other employees, those volunteers under the direction of the licensee, and members of the household: No health status review was provided to the department for the administrator.
R 400.15318 Emergency preparedness; evacuation plan; emergency transportation: No recorded practices of fire drills were provided to the department to review.
Report Facts
Corrective action plan due: Corrective action plan was requested and approved on 12/11/2023; no specific days stated.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Laurel Space | Administrator | Named in the findings for training, tuberculosis screening, and health status review. |
Inspection Report — Sep 25, 2023
Complaint Investigation
Date: Sep 25, 2023
Visit Reason
Investigation of a complaint received on 2023-09-25 about alleged marijuana smell and staff selling marijuana-based products at the facility.
Complaint Details
The office of the facility smelled of marijuana: not established. Concern a staff member is selling marijuana-based products at the facility: not established.
Findings
No violations were established regarding the allegation of marijuana smell or staff selling marijuana products at the facility.
Inspection Report — Dec 15, 2020
Date: Dec 15, 2020
Visit Reason
Licensee designee requested the facility’s name be changed.
Findings
The requested name change was verified and found not to be due to a change of licensee or controlling interest.
Inspection Report — May 25, 2011
Original Licensing
Date: May 25, 2011
Visit Reason
Original license application for an adult foster care family home.
Findings
The applicant was found to be in substantial compliance with the licensing act and applicable administrative rules. Quality of care will be evaluated during the temporary license period when residents are in care.
Report Facts
License length: 6
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