Facility Evaluation Report

Licensing Program Analysts (LPA) Mariana Agban conducted a follow up unannounced visit to this facility in conjunction with a complaint control #31-AS-20231009085600. LPA met with the Administrator and explained the reason for the visit.

After further investigation LPA reviewed and obtained staff records. Records revealed that staff#2 (S2) doesn't have fingerprint and background clearance. Staff#2 (S2) started employment at this facility in June of 2022 and Staff#3 (S3) does have fingerprint and background clearance, but is not associated to this facility. According to S3 they started employment at this facility about two years ago. There were no transfer request forms in the personnel file. The Licensee/Administrator did not request a transfer with the department. This was previously cited on 07-27-2023. Deficiencies and civil penalty issued. Appeal rights given. Exit interview conducted.