Facility Evaluation Report

On 07/09/25, in conjunction to complaint control number 31-AS-20241211135010, Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced case management deficiency visit. LPA met with the Administrator Edina Lemus and explained the reason for the visit.

During the investigation LPA confirmed that facility staff used a personal cell phone to take a "selfie" in the residents’ dining area in the proximity of residents and other staff. Though no residents were identifiable in the image, and consent was not determined to be required, the use of cellphones violated the facility’s internal policy prohibiting personal cell phone use during work hours and within resident areas. Interview with Staff #1 (S1) and the administrator corroborated that S1 used a personal cell phone during duty hours to take a selfie with other staff. The administrator stated they have addressed the issue with S1 and a new letter of expectations will include the policy.

Technical Violation issued (refer to LIC9102). Appeal rights provided. Exit interview conducted. Copy of report provided.