Facility Evaluation Report

In conjunction with complaint control # 31-AS-20260119231501, Licensing Program Analysts (LPAs) Leslie Ngo-Casteneda and Michael Cava conducted a Case Management (CM) visit to confirm who is the designated administrator for this facility. On 10/20/25, an Immediate Exclusion was issued for the facility administrator at that time, not to be present at any child care or residential facility, licensed by the Department. LPA Cava conducted a CM visit on 10/28/25 to follow up on Plan of Corrections (POCs) that was issued during an annual inspection that was made on 09/24/25. During that visit, LPA Cava was told by the house manager, licensee is in the process of hiring a new administrator. To this date, licensee has yet to submit information for the designated administrator for this facility. Today's CM visit consisted of interviews with one staff and four residents. Based on these interviews, it was determined that the licensee has failed to put a qualified administrator in place as four residents reveal they do not know who is in charge. Staff also could not confirm who the administrator is. Therefore a citation for not having a qualified administrator will be issued today. Staff is advised to notify the person they report to that LPAs will be returning to issue a Notice of Violation of Law (NOVL) and assessing an Immediate Civil Penalty on a later date. In addition to this citation, there were some deficiencies observed during a physical plant inspection and citations will also be issued on the LIC 809D.