Facility Evaluation Report

On 9/15/2022 at 9:55AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Daniela Mes, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Juan Arenas, via telephone. Administrator gave approval for Caregiver to sign documents.

This visit is based on an incident report received on 4/9/2022 and a case management visit conducted on 4/13/2022. During the visit on 4/13/2022 LPA reviewed S3’s file and observed that S3 did not have a complete personnel file and had not been fingerprinted. S1 stated that finding staff had not been easy and that the facility had S3 on trial work training before completing all necessary documents.

The following deficiencies were observed:

· LPA observed during record review and interview that S1 did not have a criminal record clearance.

· LPA observed Administrator did not perform the duties of employment and training of qualified staff.

· LPA observed that S3 did not have a complete personnel file.