Facility Evaluation Report

In conjunction to the complaint number 31-AS-20240711120733 Licensing Program Analyst (LPA) Mariana Agban conducted a case management- Deficiencies visit.

During the complaint investigation, it was confirmed that Licensee failed to submit a death report for Resident 1(R1) to CCL. LPA conducted a file review and didn't observe death report on file. In addition, during records review, LPA observed that Staff#1 (S1) and Staff #2 (S2) are not cleared nor associated to work in the facility. Administrator was advised to remove S1 and S2 immediately from the facility until they are clear and associated to the facility.

Exit Interview Conducted. Citations and Civil Penalties issued and a copy of this report