Dawson's Lodge

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: POC

On 10/17/2025 Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced visit to the facility. The purpose of the visit was to conduct a case management- Plan of Correction (POC) visit. LPA met with the facility designated administrator Veronica Dawson-Lacy. The current census 8 with 1 facility staff. LPA observed the Resident Centrally Stored Medication and Destruction Record (CSMDR) maintained in each resident files for 8 out of 8 residents. All deficiencies cited during the annual visit on 10/2/2025 were cleared for the facility. Additionally during today's visit LPA collected the following documents: (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (3) LIC 610 Current Emergency Disaster Plan (4) Proof of Current Liability Insurance (5) LIC 500 Current Personnel Report An exit interview was conducted, and a copy of the LIC 809 and Cleared POC letter was provided to the facility.the state’s words, verbatim · CDSS document, Oct 17, 2025

Type of visit: Required - 1 Year

On 10/2/2025 at 9:15 AM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived at the facility to conduct an unannounced annual inspection. LPA met with administrator Veronica Dawson. LPA explained the purpose of the visit. The current census is 8 with 1 facility staff. This facility is a single story building licensed to serve twelve (12) ambulatory residents only. LPA inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility to be free of odor, clean and in good repair. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. LPA toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. LPA observed knifes kept and made inaccessible to residents in care. Hot water temperature was measured at 115.1 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located in kitchen and hallway of the facility. The fire extinguisher was last serviced on 08/01/2025. LPA observed the facility has a public telephone in the dining room. Facility thermostat observed at 75 degrees Fahrenheit. LPA observed toxins kept locked and inaccessible to residents. LPA checked medication storage and found medication to be locked away and inaccessible to residents. The first aid kit was checked and contained all of the required components. Continuation 809-C LPA checked medication storage and found medication to be locked away and inaccessible to residents. LPA reviewed 2 out of 8 residents medication records, and observed the Resident Centrally Stored Medication and Destruction Record (CSMDR) were not maintained in resident files for 6 out of 8 residents in care. LPA reviewed 6 out of 8 resident files and they were not complete. Resident file for resident (R5) was observed incomplete as the resident's LIC 602A Physician's Report was missing from the resident's file. Licensee stated the facility is still awaiting the completed report from the resident's placement agency and physician's office. LPA requested staff files for review and they were complete. LPA reviewed staff criminal record clearances, and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared. The following documents will be email to LPA by 10/2/2025 end of day 5:00 PM: (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (3) LIC 610 Current Emergency Disaster Plan (4) Proof of Current Liability Insurance (5) LIC 500 Current Personnel Report As a result of this annual visit, the facility is not in compliance with Title 22 Regulations, and the deficiency can be found on the LIC 809-D and LIC 9102 pages. An exit interview was conducted with Veronica and a copy of the LIC 809 reports, LIC 809-D, LIC 9102 , and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, Oct 2, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff did not notify appropriate parties regarding resident's change in condition

On 2/20/2025 at 9:10am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegations noted above. LPA met with Administrator Veronica Dawson-Lacy and explained the purpose of the visit. During this investigation, LPA conducted interviews with Administrator and resident1 (R1). Additionally, LPA reviewed facility file documentation including hospital records, treatment plan, resident appraisal, physician’s report, and general care notes all pertaining to R1. Allegation: Staff did not notify appropriate parties regarding resident’s change in condition. Based on interviews and record reviews as noted above it was determined that on 11-14-24, R1 informed facility administrator she was going to a local store and left facility. At approximately 9:30pm on 11-14-24, R1 returned home and called 911 stating she took 42 aspirin pills while walking back from the store. R1 was transported to a local hospital for services and released early morning of 11-15-25 with transport back to facility. {Cont. on 9099C} Substantiated Based on interview and record review, it was revealed that R1’s change of condition due to overdose was reported to R1’s responsible party, but not reported to Licensing department per regulatory requirements. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. Citation is issued under Title 22, Division 6 and noted on LIC 9099D. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights and LIC 811 provided. Allegation: Staff did not prevent resident from an overdose while in care. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews it was determined that on 11-14-24, R1 informed facility administrator she was going to a local store and left facility. At approximately 9:30pm on 11-14-24, R1 returned home and called 911 stating she took 42 aspirin pills while walking back from the store. R1 was transported to a local hospital for services and released early morning of 11-15-25 with transport back to facility. A review of physician’s report for R1 determined R1 is able to leave facility unassisted. Additional interviews conducted revealed facility staff was aware of R1’s general whereabouts. As a result, based on R1’s ability to leave facility unassisted and staffs’ knowledge of R1’s whereabouts after being informed, there is not a preponderance of evidence to conclude staff did not prevent resident from an overdoes while in care. Therefore, this allegation is UNSUBSTANTIATED. Allegation: Staff cancelled resident’s mental health appointments. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that R1 has scheduled psychiatric appointments. Additionally, interviews and record reviews revealed staff have made previous attempts to schedule additional appointments for R1. LPA did not observe or receive documented or verbal evidence of any cancelled appointments during this investigation. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights provided.the state’s words, verbatim · CDSS document, Feb 20, 2025 · control 27-AS-20241210110040

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Mar 6, 2025

87211 Reporting Requirements.(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below: (D) Any incident which threatens the welfare, safety or health of any resident…This requirement was not met as evidenced by: Based on interview and record review, an incident in which R1 overdosed on medication and hospitalized was not reported to Licensing department. This posed a potential health and safety risk to resident in care.the state’s words, verbatim · CDSS document, Feb 20, 2025

Plan of correction: Licensee will read regulation 87211 and submit a signed declaration of understanding to LPA by POC due date.

Type of visit: Required - 1 Year

On 09/26/2024 at 8:26 AM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA met with administrator Veronica Dawson. LPA explained the purpose of the visit. The current census is 7 with 1 facility staff. This facility is a single story building licensed to serve twelve (12) ambulatory residents only. LPA inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility to be free of odor, clean and in good repair. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. LPA toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. LPA observed knifes kept and made inaccessible to residents in care. Hot water temperature was measured at 113.2 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located in kitchen and hallway of the facility. The fire extinguisher was last serviced on 08/19/2024. LPA observed the facility has a has a public telephone in the dining room. Facility thermostat observed at 72 degrees Fahrenheit. LPA observed toxins kept locked and inaccessible to residents. LPA checked medication storage and found medication to be locked away and inaccessible to residents. The first aid kit was checked and contained all of the required components. LPA requested resident and staff files for review. LPA reviewed 5 out of 7 resident files and 1 staff file, and they were complete. As a result of this annual visit, the facility is in compliance with Title 22 Regulation. An exit interview was conducted, and a copy of these LIC 809 report were provided to the facility.the state’s words, verbatim · CDSS document, Sep 26, 2024