Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted a case management visit in conjunction with a complaint that has the control 28-AS-20260313164816

During record review of the facility staff associations. it was revealed that contractor #1 (C1) was not associated to the facility while working as a caregiver for one resident. It was revealed that S1 had worked at the facility from February of 2026 - 03/17/2026 while not being fully associated, and therefore was not allowed to work with residents or be present in an agency licensed by the department.

Facility sent contractor home this same day.

The related deficiency is cited on the LIC809D page. A copy of this report along with the appeal rights were provided.