Facility Evaluation Report

Licensing Program Analysts (LPAs) Evelin Rios and Angelica Segovia arrived at the facility. LPAs conducted a case management - deficiencies visit in conjunction to complaint control #31-AS-20240826142332. LPA Rios spoke to the administrator Fabiloa Igid via telephone and LPA explained the reason for the visit. The administrator informed LPAs that she is not available to meet them at the facility but would be available via telephone. The administrator designated staff, Gemma to sign today's report.

LPA's observed two (2) staff in the facility with two (2) residents. LPA's review of Guardian revealed both staff present were not associated to the facility. LPA requested staff records which revealed they did not have a clearance letter or transfers request for this facility. LPA asked S1 and S2 when they started working at the facility and both stated June 18, 2024. LPA contacted the administrator, Fabiola Igid and asked about the two (2) staff present. The administrator informed LPA she believed she sent out a request to associate them to the Regional Office (RO) via email. The administrator called LPA later and informed LPA Rios they could not find the email sent to RO and they may have forgotten to send it. LPA review of Guardian found both staff are background cleared and not associated to this facility. Administrator stated they will be at the facility today.

Deficiency cited. Appeals right provided. Copy of report provided.