An Osprey Retreat

Type of visit: Required - 1 Year

On 04/28/2026, Licensing Program Analyst (LPA) Marisa Chiarelli arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Grace Puckett and was granted access to the facility. LPA and Administrator toured the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, (4) four resident bedrooms, garage, backyard, storage areas, and (2) two common restrooms. LPA observed the facility to be clean, in good repair, and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed all bedrooms to have the required furnishings, lights, and windows with screens. LPA observed the first aid kit to be completed and ready for use. Water temperature was measured at 118 F . Facility has a 2-day perishable and a 7-day non-perishable amount of food. The kitchen was clean and organized. LPA observed medications, chemical toxins, and knives to be locked and inaccessible to residents. LPA observed fire extinguishers to be fully charged. Facility is conducting fire drills and disaster drills per regulation requirements. LPA reviewed a total of four (4) residents' files and three (3) staff files which contained all of the required documentation. The facility is in compliance and no deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of the report was provided to Administrator.the state’s words, verbatim · CDSS document, Apr 28, 2026

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Licensee does not ensure there is enough food for residents in care. – UNSUBSTANTIATED Licensee does not ensure that residents have hygiene supplies readily available. – UNSUBSTANTIATED

/14/2025 09:40 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to deliver the results of a complaint investigation. LPA met with administrator Grace Puckett and explained the purpose of the visit. During the course of the investigation LPA conducted interviews and inspected the facility. LPA reviewed copies of the following documents: Receipts and shopping lists for grocery and supplies shopping for the months of August and September 2025, menu, staff list with telephone numbers. Continued on LIC9099-C Unsubstantiated Licensee does not ensure there is enough food for residents in care. - UNSUBSTANTIATED It was reported that there is constantly no food in the house, and even when they go shopping there is nothing. On 09/15/2025 LPA observed a menu posted on the refrigerator. LPA confirmed that the ingredients required for the posted lunch menu were present in the facility. LPA inspected a refrigerator in the kitchen, pantry, cupboards, and a second refrigerator in a utility room and found the freezers to be low on frozen meat. All other staples were stocked at a reasonable amount. During the visit the facility received a delivery of meat, milk, cheese, fresh vegetables and fruits. LPA was informed that this is the weekly supply delivery. LPA reviewed shopping lists and grocery receipts for August 2025 to current and found the quality and quantity of food items to be acceptable for the home. Administrator stated the company stores a lot of the meat and pantry items at a corporate office. The facility receives a shipment of one week of supplies every Monday. Any time staff tells the administrator they are low on something the administrator brings whatever they need. The facility follows a pre-planned menu each week. This allegation is unsubstantiated. Continued on LIC9099-C Licensee does not ensure that residents have hygiene supplies readily available. – UNSUBSTANTIATED It was reported that licensee does not ensure there are paper towels or enough "wipes" for residents in care. LPA observed one packet of wipes in one bathroom, and three rolls of paper towels in the utility room. During the visit the facility received a delivery of wipes, soap, paper towels, and cleaning supplies. LPA was informed that this is the weekly supply delivery. LPA reviewed shopping lists and grocery receipts for August 2025 to current and found the quantity of hygiene items to be acceptable for the residents in care. Administrator stated they stock 5 rolls of paper towels at the facility and usually there are 2 packs of wipes on hand per client per week. The facility currently has two incontinent clients. This allegation is unsubstantiated. This agency has investigated the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted and a copy of the report was provided to administrator Grace Puckett.the state’s words, verbatim · CDSS document, Oct 14, 2025 · control 59-AS-20250911093711

Type of visit: Required - 1 Year

On May 28, 2025, Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Grace Puckett and was granted access to the facility. LPA and Administrator toured the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, (3) three resident bedrooms, garage, backyard, storage areas, and (2) two common restrooms. LPA observed the facility to be clean, in good repair, and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed all bedrooms to have the required furnishings, lights, and windows with screens. LPA observed the first aid kit to be completed and ready for use. LPA measured the water to be within the regulation range. Facility has a 2-day perishable and a 7-day non-perishable amount of food. The facility had a variety of food to offer the residents. The kitchen was clean and organized. LPA observed medications, chemical toxins, and knives to be locked and inaccessible to residents. LPA observed fire extinguishers to be fully charged and last inspected in July 2024. Facility is conducting fire drills monthly with the most recent completed in April 2025, Additionally, the facility is conducting disaster drills every (3) three months with the most recent being completed March 2025. LPA reviewed a total of three (3) residents' files and four (4) staff files which contained all of the required documentation. The facility is in compliance and no deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of the report was provided to Administrator.the state’s words, verbatim · CDSS document, May 28, 2025

Type of visit: Case Management - Incident

On January 23, 2025 at approximately 12:00 PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at An Osprey Retreat for the purpose of conducting a Case Management-Incident Inspection. LPA met with Administrator, Laurie Schlottman and was granted access into the facility. During the incident, the medication was administered to the wrong resident in care (See LIC 9102-Technical Violation). Staff immediately called the Administrator. Administrator instructed staff to contact Poison Control. Instructions were given by Poison Control. Administrator reported this incident to the Primary Care Physician via facsimile and the Regional Center placement agency. LPA educated the Administrator on the importance of ensuring that ALL medications are dispensed as outlined in the residents physician orders and as outlined in Title 22 Regulations. Administrator reported that staff that dispensed the wrong medication will be going through additional training. LPA also advised that if this medication error happens again, a citation will be issued. LPA toured the facility and made observations. No deficiencies were cited during today's Case Management-Incident Inspection. Exit interview was conducted and a copy of this report was signed and given to the Administrator.the state’s words, verbatim · CDSS document, Jan 23, 2025

Type of visit: Required - 1 Year

On 04/09/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Grace Puckett and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, shed, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. LPA observed all bedrooms to have the required furnishings, lights and windows with screens. LPA observed medications, chemical toxins and knives to be locked and inaccessible to residents. Facility has a 2-day perishable and a 7-day non-perishable amount of food. Hot water temperature was measured within range. LPA observed two (2) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed a complete emergency disaster plan which has been practiced and documented several times within the last 12 months. LPA reviewed a total of four (4) residents' files and four (4) staff files which contained all of the required documentation. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Apr 9, 2024