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Steton Mobile Auditor Page 1 of 4 YPdhec ‘Location Information ‘Audit Information [License Number: CRC-1210 ‘CRC GENERAL ROV. [Mail Stop: HL- Community Residential Care 20190924. Facility 1L07 Investigation [Location Name: TWILITE MANOR ADULT Friday, February 18, 2022 RESIDENTIAL CARE Friday, Febuary 18, 2022 |Address 1: 2306 FORREST ST JoMonica Taylor |Ciry/state/Postal Code:CAYCE , SC , 29033-2124, ‘ontact Name: LONELL PHAIRE Lexington [Phone 1: 803-794-7561 lemait: LONELLI }GMAIL.CO} [Bureau of Health Facilities Licensing |2600 Butt st [Columbia SC 29201-1708 Jxerorr Novice: typical this Report of Visit inca tiled design of te coins conduct ox practices that |e foun be in votaion of equiemens. Ths inspection or investzaton nto be consti asa check of every condition ht may exis. nor does it reve te icease (owner) fom be ned to mee ail applicable sada, egultons and laws. The [scuh carina Code of Lawes egies this Deparment establish 2nd eaforce basi ada forthe iensore (perm), Jnsicseance, and operation of ea fciies and sersices to come the sf and adequte eset of prions served this fst. tals capes the Depart to reqieeportand make inspections and inventigatons ax consiered acer. |rrtermor, he Code autores he Deparment o den, spend or evoke license (permis) or assess a monetary peaaly Jzsins person or fciity fr (among oter reasons), visting provision of aw or pares elation or condct or practices desea tothe hea or suey of patents resdeats, cles. or employees ofa fait rsewic I applicable tothe lope oF reper being made the signature of th acy epresettie indicates hat al f he tems cited were evewed ding te fest discussion fis Report of Visits equied by tegulaon whe mae asl in a comepicaos place ia apc ae wil |e airy. eduction of the ames of tse indus inthe ep is roused as povided by Seton 4.7310 and 47-315 fue SC. Cade oftws, 1976 ar amended lReport Notice Report of vist sent via e-mail 2/22/2022 ADMINISTRATOR'S SIGNATURE - PLAN OF CORRECTION, JPLAN OF CORRECTION - Adair Cnicaton Icey at th aad pla of cenccton Scie POC te ates aen in contcac cie efieny, REQUIRED [oh scan eno pen silences ad Jo) te scmat expected completion das of se acons. [rm fsicwaruRe: [Any vitmions edi is repr of vist wee observe atthe ime ofthe inspection file:///C:/Users/taylorjj/AppData/Roamine/Steton/360%20mobileAUDITOR/temp/d5847... 02/22/2022 Steton Mobile Auditor [The Adis submits an eleczonic pan of ote by visitng the website luprrssehee gow Healt FHPP Heats Regslaons|censing HeaficaeFacieyLicesing CoretoaPa! 20d [clown be nracaone online lor the Admincrtor trae 2

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