Facility Evaluation Report

On 11/05/25 Licensing Program Analyst (LPA) Lorena Casillas met with staff member Elbert Perez for a case management visit. The purpose of the case management visit is to address deficiencies observed during the course of investigation for complaint # 31-AS-20251030092102. The deficiencies were not alleged but are related to the complaint. Administrator was not able to meet with LPA and assigned staff member Elbert Perez to sign the report.

During the facility file review LPA was not able to locate a facility file for Staff #1 (S1). LPA searched the Guardian website to verify the facility roster and could not locate S1 on the Guardian website. Due to no facility file on S1, LPA was not able to search and check if S1 has a current fingerprint clearance. Interview with Staff #2 stated that S1 covered for them on 10/31/25, however interview with Resident #1 (R1) revealed that S1 had been at the facility for about a month. LPA expressed to Administrator the importance of making sure that staff is fingerprint cleared and associated to the facility prior to working and providing direct care and supervision. A civil penalty will be issued. Administrator was also advised that all staff have to have a facility file and it needs to be readily available for review. A citation will also be issued for not having a file for S1.

Citations issued. Exit interview conducted. Copy of report provided to designee.