Facility Evaluation Report

This Case Management has was conducted in conjunction with complaint investigation (CC-#31-AS-20231024151628) to address the issues unrelated to the complaint.

During Complaint Investigation, LPA Alvizar-Ettima discovered the following

On 11/05/25 initial visit LPA interview S1, who stated that they were facility Administrator and Ms. Hewitt is the owner of the property. At about 10:45a.m. LPA interviewed Ms. Hewitt and Staff #2-#3 (S2-S3). During the interview Ms. Hewitt indicated that they are the Administrator and have proof of an active Administrator certificate. Ms. Hewitt acknowledged S1 as a House Manager but not designated Administrator. During interviews, Staff #2 - #3 (S2-S3) were hired recently and had no knowledge about S1’s job title and were unable to verify if S1 is Licensed Administrator. A review of S1’s facility file reveal that S1 did not have an Administrator certificate.

Based on inspection, interviews and review records, it was concluded that S1 was representing themselves as a qualified administrator without having verifiable proof and/or current Administrator certificate on file. LPA explained Title 22 requirements and informed that no employee of the facility should make misleading statement.

Deficiency was cited and recorded on LIC809D.

Exit interview was conducted, appeal rights were discussed and a copy of report was issued.