Facility Evaluation Report

At 10:30 am, Licensing Program Analyst (LPAs) Shira Stamps and Angela Panushkina conducted a case management visit. Entrance interview conducted with the Licensee.

The purpose of this visit is to verify the facilities capacity. LPAs arrived and entered the property. LPAs contacted the Licensee at 10:45 am and he stated there was a staff member at the facility, and he was at the doctor. LPA entered the home and conducted a physical plant tour and verified that the facility currently has six (6) clients living in the home. On 7/08/22, the facility was cited for not having a certified Administrator, and on 7/15/22 the plan of correction (POC) was cleared. As of today’s, visit, the Administrator has quit and no longer works for the facility. The Licensee stated he has applied for his Administrator Certificate and paid the fee. LPA conducted a file review and verified with the Community Care Licensing Division Administrator Certification that the Licensee does not have an active or pending application for his Administrator Certificate. The facility currently has no certified Administrator (repeat violation).

Exit interview conducted. Civil Penalties and Citations issued. Appeal rights and copy of report delivered to Licensee.