Inspection Report
Abbreviated Survey
Deficiencies: 0
Sep 12, 2023
Visit Reason
An abbreviated survey was conducted to determine if Elijahs Place was in substantial compliance with Wisconsin Statutes chapter 50 and Administrative Code chapter DHS 83, which regulate community-based residential facilities.
Findings
The Department issued a Statement of Deficiency (SOD #YJ0B11) for violations of the applicable statutes and administrative codes, requiring the licensee to comply with the standards for operation to protect resident health, safety, and welfare.
Report Facts
Days to achieve compliance: 45
Days to request hearing: 10
Days to post citation: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kenneth Brotheridge | Assisted Living Director | Signed the notice letter. |
| Vicky Wittman | Assisted Living Regional Director | Contact person for questions about the letter. |
Inspection Report
Abbreviated Survey
Census: 9
Deficiencies: 2
Sep 12, 2023
Visit Reason
The surveyor conducted an abbreviated survey at Elijah's Place, a Community-Based Residential Facility, to assess compliance with fire and other emergency evacuation drill requirements.
Findings
Two deficiencies were identified: failure to conduct at least one fire evacuation drill annually during usual sleeping hours, and failure to conduct other evacuation drills (such as tornado drills) at least semi-annually for calendar year 2022.
Deficiencies (2)
| Description |
|---|
| Provider did not conduct at least one fire evacuation drill annually that simulates conditions during usual sleep hours. |
| Provider did not conduct other evacuation drills at least semi-annually for calendar year 2022. |
Report Facts
Census: 9
Fire drills conducted: 3
Tornado drills conducted: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| House Manager A | Interviewed regarding fire and other evacuation drills and acknowledged deficiencies |
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