Facility Evaluation Report

This Case Management visit is conducted in conjunction with complaint investigation to address the deficiencies unrelated to the complaint has nothing to do with complaint visit.

During Complaint Investigation, LPA Alvizar-Ettima discovered t he following Full-Time Staff (S1) and (S2) have been present without a Criminal Background Clearance or Transfer and Association to this facility. S1 job title is Caregiver, first day of work was 12/28/2023. S2 job title is Caregiver, first day of work was 12/20/2023. LPA request/received S1 Washington Driver License. LPA request/received S2 Passport.

LPA verified using Guardian Background System Check, staff S1 and S2 names did not appeared on facility roster.

Based on review of Licensing visit History, LPA noted that on 08/23/2023 Licensee was cited for allowing 2 uncleared individuals to be present and work at the facility.

This is a second deficiency within last 12 month period. Therefore additional civil penalties $100.00 per/day per individual, up to 30 days, will be assessed at the time of this visit.

A citation and civil penalty were issued and recorded on LIC809D Copy of this report was provide to Nathaniel Hemedes.