Facility Evaluation Report

Licensing Program Analyst (LPA) Christian Gutierrez generated this Case Management - Deficiencies report in conjunction with complaint control 28-AS-20250722161851 pertaining to interviews and record review made during the complaint investigation. The purpose of the report was explained to Administrator Eddie Alvarez.

During interviews it was revealed that a staff member was smoking in his/her vehicle located outside the door and windows of facility causing smoke to enter client’s bedroom. During record review LPA was able to obtain four staff statements that one particular member of staff was smoking in his/her car on their break prompting staff to notify Administrator. S7 stated that the smell of marijuana was seeping into client’s bedroom when this staff went outside to car for break. S7 stated that once Administrator was notified staff never reentered the facility.

Based on record review, a citation is being issued. See LIC 809D.

An exit interview was conducted, and a copy of the report and appeal rights were issued.