Facility Evaluation Report

On 02/04/2025 Licensing Program Analysts (LPAs) Lorena Casillas and Nadia Shahbazian arrived at facility above to conduct an initial 10-day complaint investigation for complaint 31-AS-20250131082825. This Case Management is related not to the original complaint visit. During facility records review it was discovered that Administrator does not have a valid Administrator Certificate. Administrator certificate shows to have been expired on 12/10/2024, Administrator admitted to not having completed all necessary continuing education hours required for recertification. Based on interview with Administrator and Administrators own admission there is no qualified and currently certified Administrator at the facility. Furthermore, it was also discovered that facility does not have valid liability insurance coverage. LPAs advised Administrator that there will be citations issued.

Citations issued. Appeals rights discussed and provided. Exit interview conducted and a copy of the report given to Administrator.