Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Visit-Deficiencies on 09/01/2024, stemming from annual inspection conducted on 09/01/2024. LPA Ramirez was greeted by Home Care Aide Registry Staff- Tyra R. Case Management-Deficiencies findings:

LPA Ramirez returned to the facility to conduct exit interview of earlier annual inspection conducted on 9/1/2024. At approximately 5:10:pm, LPA Ramirez was greeted by Registry Staff- Tyra R. Tyra advised LPA Ramirez that Administrator Dallas had left the facility and requested LPA Ramirez call Administrator Dallas once LPA Ramirez arrived. Tyra confirmed to LPA Ramirez she was the only staff at the facility and no other staff was available to conduct exit interview. LPA Ramirez telephoned Administrator Dallas and advised her LPA was ready to conduct the exit interview. Administrator Dallas stated she was unable to meet LPA Ramirez due to feeling ill. LPA Ramirez again asked Administrator Dallas if any other staff was available to discuss deficiencies and inspection report. Administrator Dallas advised LPA Ramirez no other staff were available and began to express her disapproval with LPA Ramirez conducting an annual inspection at the facility on a Sunday; expressed that due to LPA’s unexpected weekend arrival and deficiencies discussed earlier, Administrator Dallas was now ill. LPA Ramirez advised Administrator Dallas that the report will indicate her refusal to conduct exit interview via phone or in person and will indicate “REFUSE TO SIGN” on the report. Administrator Dallas advised LPA Ramirez that she was not coming or sending anyone to meet LPA and LPA could proceed forward with any course of action.

At 5:16pm, LPA Ramirez attempted to make way to the backyard to take a picture of the facility perimeter gate that earlier was observed to be in noncompliance. LPA Ramirez advised Tyra that the facility is being cited and LPA was going to take a picture for documentation purposes. Tyra called Administrator Dallas to notify her of LPA’s intent to take a picture of the perimeter gate. Tyra advised LPA Ramirez that Administrator Dallas said to “leave now!”. LPA Ramirez could hear Administrator Dallas shouting “TELL HER TO GET OUT NOW! LEAVE RIGHT NOW!” LPA Ramirez asked Tyra to put the call on speaker so LPA Ramirez could advise Administrator Dallas of the consequences of not allowing LPA Ramirez to enter and inspect the entire premise even after proper identification and stating my purpose. LPA Ramirez could hear Administrator Dallas shout “I DON’T CARE! I DON’T WANT TO TALK TO HER! GET OUT!” LPA Ramirez collected her belongings and left the facility at 5:18pm.

An Immediate Civil Penalty of $500 was assessed due LPA Ramirez being denied entry to backyard and being asked to leave the facility by Administrator Dallas during annual inspection of facility. A copy of this report, 809-D, LIC 421IM and appeals rights was provided via email.