Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced Case Management Visit. LPA met with Licensee, Jacqueline White and her spouse who were informed of the purpose of the visit. LPA conducted a walk through, interviews, and records review.

Upon arrival at 10:09am LPA was greeted and granted entry by Person #1 (P1). LPA observed P1 and Resident #1 (R1) where present in the home. Interview with P1 revealed they supervise and change R1. P1 stated they just moved into the facility with Staff #1 (S1), and stated they have not been fingerprint cleared. S1 was interviewed over the phone who confirmed P1 watches R1 when they are not present. LPA met with the licensee's spouse who stated that they thought P1 was fingerprinted. The licensee's spouse is not fingerprinted. At 10:22am LPA informed at this time there are no fingerprinted individuals present to care for R1. The licensee's spouse left to inform the licensee to come and care for R1. The Licensee arrived at 10:58am and agreed to stay with R1 until S1 arrives at the facility. P1 was escorted off the premises. S1's fingerprint clearance was verified with the regional office, however they are not associated to the facility. Therefore, fingerprint clearance violations for lack of clearance and transfer are being cited with a civil penalty of $100 per individual. An exit interview was conducted with the Licensee, Jacqueline White where this report, LIC809-D page, and appeal rights were reviewed and provided.