Deficiencies per Year
4
3
2
1
0
Unclassified
Inspection Report
Renewal
Census: 18
Capacity: 20
Deficiencies: 0
Mar 5, 2024
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 determined to be in substantial compliance with rules and requirements, and the license renewal was recommended for a 2-year regular adult foster care license.
Report Facts
Staff interviewed and/or observed: 5
Residents interviewed and/or observed: 18
Facility capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristine Cilluffo | Licensing Consultant | Author of the inspection report and recommendation |
| Louis Andriotti, Jr. | Licensee/Licensee Designee | Named in identifying information |
| Kristina Djelevic | Administrator | Named in identifying information and interviewed during inspection |
Inspection Report
Complaint Investigation
Capacity: 20
Deficiencies: 1
May 24, 2023
Visit Reason
The inspection was conducted in response to a licensing complaint alleging inappropriate relationships among night shift staff, residents using vape pens and marijuana, staff taking leftover prescriptions, and a staff member residing at the facility.
Findings
The investigation found no evidence to support allegations of inappropriate staff relationships, resident use of vape pens or marijuana, staff taking leftover medications, or a staff member residing at the facility. However, a violation was established for medications being stored unlocked in a plastic tub during return to the pharmacy, which was later corrected.
Complaint Details
The complaint alleged inappropriate relationships among night shift staff, residents using vape pens and marijuana, staff taking leftover prescriptions, and a staff member residing at the facility. None of these allegations were substantiated except for the medication storage violation.
Deficiencies (1)
| Description |
|---|
| Medications being returned to the pharmacy were stored in an unlocked plastic tub in the office. |
Report Facts
Capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kristina Djelevic | Administrator | Interviewed regarding allegations and findings |
| Brittney Adams | Health and Wellness Coordinator | Interviewed regarding allegations and findings |
| Andrea Kreger | Caregiver and Sous Chef | Interviewed regarding allegations and findings |
| Hannah Nowlin | Sous Chef | Interviewed regarding allegations and findings |
| Michelle Fremont | Med Tech | Interviewed regarding allegations and findings |
Inspection Report
Original Licensing
Capacity: 20
Deficiencies: 0
Sep 12, 2019
Visit Reason
The visit was conducted as an original licensing study to determine compliance with applicable licensing statutes and administrative rules for the facility Vista Springs Washington Place - Spring Harbor.
Findings
The facility was found to be in substantial compliance with licensing requirements, including adequate physical space, safety systems, and qualified applicant and administrator. A temporary license with a maximum capacity of 20 residents was recommended and issued.
Report Facts
Capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Louis Andriotti | Licensee Designee | Named as licensee designee and managing member of the applicant company, involved in compliance and administrative responsibilities. |
| Kristen Gray | Administrator | Named as administrator of the facility with relevant experience and responsibilities. |
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