Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted a case management visit regarding information discovered during the investigation into complaint control # 22-AS-20240206110137

During the complaint investigation mentioned above, it was discovered P&I funds were not accurate for Client 3 (C3) and Client 4 (C4) according to the P&I ledgers for both clients. When C3’s P&I funds were counted, the funds were $9.75 more than what was reported on the ledger. The ledger for C3 had a balance of $132.25. Staff 1 (S1) counted $142.00 in the presence of LPA Haley, Licensee Lilia Duelas, and Administrator Delfin Duelas.

P&I funds for C4 were also inaccurate. According to the P&I ledger C4 had a balance of $213.01 When C4’s P&I funds were counted, the funds were .69 cent less than what was reported on the ledger. Staff 1 (S1) counted $212.32 in the presence of LPA Haley, Licensee Lilia Duelas, and Administrator Delfin Duelas.

P&I funds were accurate for Client 1 (C1) and Client 2 (C2).

As a result of today’s Case Management visit, deficiencies will be cited.

An exit interview was conducted and a copy of this report, LIC809D, and appeal rights were provided.