Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a case management, in conjunction with complaint control # 31-AS-20240517163642. During the initial visit, LPA identified (2) staff that were not finger print cleared, nor was associated with the facility. Civil penalties will be assess during the visit. This is an immediate health and safety risk to residents in care.

Also during the investigation, and reviewing resident records and staff files, LPA observed both staff did not have a personnel file at the facility and Licensing required documents were not available to be reviewed. The following items were missing:

Fingerprint clearance and association to the facility

LPA informed Licensee that all documents must be submitted by the POC date.

Exit interview, appeal rights, copy of report provided.