Inspection Reports for Halcyon Place I

The visit was an unannounced required comprehensive annual inspection of the facility.

The facility was found to be operating within approved capacity and in safe, clean, and good repair conditions. No deficiencies were cited during the inspection.

The visit was an unannounced required comprehensive annual inspection of the facility to assess compliance with regulations.

The facility was found to be clean, in good repair, and operating safely with no deficiencies cited. Resident and staff files were reviewed, medications were audited and dispensed appropriately, and all regulatory requirements were met.

The visit was conducted to obtain signatures on an Amended Report as part of case management activities.

The Licensing Program Analyst met with staff, introduced herself, obtained signatures, and completed the report. An exit interview was conducted where the report was discussed and provided to the facility representative.

The inspection was an unannounced complaint investigation initiated due to allegations including uncleared staff working in the facility, lack of a qualified Administrator, and staff preventing home health agency staff from performing their duties.

The investigation found that all staff files reviewed included required fingerprint and criminal background checks and up-to-date training. The facility had three active qualified Administrators with valid certificates. The allegation that staff prevented home health agency staff from performing their duties was unsubstantiated due to ongoing disputes but no evidence of violation. Overall, all allegations were found to be unfounded or unsubstantiated with no deficiencies cited.

The complaint investigation was triggered by allegations of uncleared staff working in the facility, lack of a qualified Administrator, and staff preventing home health agency staff from performing their duties. All allegations were found to be unfounded or unsubstantiated after review and interviews.

Licensing Program Analyst Anna Bueno conducted an unannounced visit to the facility for the purpose of completing a Health & Safety check.

No imminent health or safety concerns were observed. Residents appeared safe and their needs were met. The facility was maintained at a comfortable temperature and food supply was sufficient.

An unannounced annual inspection was conducted with an emphasis on infection control to assess compliance with regulations.

No deficiencies were observed or cited during the visit. The facility demonstrated compliance with infection control practices, including COVID-19 mitigation measures and adequate supplies of PPE and hygiene materials.