Inspection Report
Complaint Investigation
Capacity: 20
Deficiencies: 1
Jul 23, 2025
Visit Reason
The inspection was conducted in response to a complaint alleging that direct care staff were not properly trained or CPR/First Aid certified, inadequate staffing during third shift and weekends, improper medication disposal, and unclean conditions in Resident A's room.
Findings
The investigation found no violation regarding direct care staff training or medication disposal, and Resident A's room was found clean and orderly. However, a violation was established for insufficient staffing during third shift to meet Resident A's care needs as specified in the assessment plan.
Complaint Details
The complaint alleged that direct care staff were not trained or CPR/First Aid certified, inadequate staffing during third shift and weekends, improper medication disposal, and Resident A’s room was unclean with urine on the floor. The investigation substantiated the staffing inadequacy but did not substantiate the other allegations.
Deficiencies (1)
| Description |
|---|
| Insufficient direct care staff on duty during third shift to provide supervision, personal care, and protection of residents as specified in Resident A’s Assessment Plan for AFC Residents. |
Report Facts
Facility capacity: 20
Complaint receipt date: Jul 3, 2025
Investigation initiation date: Jul 3, 2025
Report due date: Sep 1, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chelsea Lindsey | Administrator | Interviewed regarding staff training, staffing, and medication disposal |
| Megan Fry | Licensee Designee | Interviewed during onsite investigation and exit conference |
| Krista Newhouse | Direct Care Staff | Named in training and certification discussion |
| Sarah Carrier | Direct Care Staff | Named in training and certification discussion |
| Devon Sterling | Direct Care Staff | Named in training and certification discussion; worked third shift as only medication-trained staff |
| Tiffany Dobson | Direct Care Staff | Named in training and certification discussion |
| Abby White | Direct Care Staff | Interviewed regarding training and medication disposal |
| Jennifer Browning | AFC Licensing Consultant | Interviewed regarding staffing and medication administration |
| Ashlee Vower | Registered Nurse | Interviewed regarding Resident A’s care and room cleanliness |
Inspection Report
Renewal
Census: 15
Capacity: 20
Deficiencies: 2
Mar 20, 2025
Visit Reason
The inspection was conducted as a Renewal Licensing Study to verify compliance with licensing requirements and the implementation of a corrective action plan.
Findings
The facility was found non-compliant with rules regarding administrator training and medication availability for a resident. An acceptable corrective action plan was submitted and approved, with renewal of the license recommended.
Deficiencies (2)
| Description |
|---|
| Licensee designee Megan Fry did not complete 16 hours of training each year as required. |
| Resident A did not have her PRN Tylenol 325 mg tablet available in the facility as ordered. |
Report Facts
Capacity: 20
Residents present: 15
Staff interviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Fry | Licensee Designee and Administrator | Named in deficiency for not completing required training |
| Jennifer Browning | Licensing Consultant | Author of the report and recommendation |
| Z. Fisher | Regional Director | Interviewed during inspection |
Inspection Report
Renewal
Census: 8
Capacity: 20
Deficiencies: 0
Apr 27, 2023
Visit Reason
The inspection was conducted as a renewal inspection to determine compliance with applicable licensing statutes and rules for the facility's license renewal.
Findings
The facility was found to be in substantial compliance with all applicable rules and statutes, and the license was renewed for a 2-year period as a regular adult foster care large group home.
Report Facts
Number of staff interviewed and/or observed: 5
Number of residents interviewed and/or observed: 8
Facility capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Fry | Licensee Designee | Named as Licensee Designee in the report |
| Sera Henry | Administrator | Named as Administrator in the report |
| Rodney Gill | Licensing Consultant | Author of the report and licensing consultant |
Inspection Report
Original Licensing
Capacity: 20
Deficiencies: 0
Oct 14, 2020
Visit Reason
The inspection was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the Prestige Centre I facility.
Findings
The facility was found to be in substantial compliance with licensing statutes and administrative rules, including environmental health and fire safety requirements. A temporary license with a maximum capacity of 20 residents was recommended and issued.
Report Facts
Facility capacity: 20
Staffing ratio: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Megan Fry | Licensee Designee | Appointed licensee designee for the facility. |
| Laura Inman | Administrator | Appointed administrator of the facility. |
| Bridget Vermeesch | Licensing Consultant | Conducted the inspection and authored the report. |
| Dawn N. Timm | Area Manager | Approved the licensing recommendation. |
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