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-20240109140428.

During the complaint investigation mentioned above, it was discovered Staff 1 (S1) was not fingerprint cleared and listed on the facilities personnel roster. S1 has been working at the facility for a year and was never officially cleared to work because the application process was never completed.

Recently the facility has hired four new staff members. One new hire is clear and will be starting soon. The remaining three new hires start date is pending their fingerprint clearance.

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.