Facility Evaluation Report

On 11/04/2024 LPA Casillas arrived at facility above to conduct an initial 10-day complaint investigation for complaint 31-AS-20241029153645. This Case Management is not related to the original complaint visit. During the facility visit LPA observed that there was a staff member not associated to the facility that has been providing care and supervision to clients.

During LPA’s record review, LPA observed there was a staff member #1 (S1) that was not associated to the facility. Administrator explained that S1 had left in July 2024 but had returned in October 2024 and they must have overlooked re-associating S1. Record review revealed S1 does have fingerprint and background clearance but is not associated to this facility. LPA Casillas explained to the Administrator the importance of associating all staff providing care and supervision to clients and that this citation will result in a civil penalty.

Civil penalty Issued. Appeal rights discussed and provided. Exit Interview conducted.