Facility Evaluation Report

Lisensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and when exiting the car was greeted by the Administrator, Felix Campos. LPA Spaeth stated the purpose of the visit was to conduct a tour of the facility.

Upon entering the facility, LPA observed two residents were in the facility and there were no staff members present. The Administrator stated the staff member was in their room. At 11:05 am, the Licensee went to the staff door and knocked several times; however, no one responded. Fifteen minutes later the Administrator and the staff member approached LPA stating the staff member was present in their room. LPA Spaeth explained staff members shall be able to ensure the safety and well being of the clients at all times.

Since the staff member did not respond to the Administrator's request to exit the staff room, the following deficiency is issued. Exit interview conducted, appeal rights discussed, and a copy of the report was given.