Facility Evaluation Report

Licensing Program Analyst (LPA), Seo Jeon, conducted an unannounced visit to the facility for a case management visit to follow up on complaint control number 18-AS-20251106134235. The LPA was allowed entrance into the facility and met with Clayshanisha Henson, Resident Service Director. The LPA informed the Resident Service Director of the purpose of the LPA’s visit.

LPA toured the interior and exterior of the facility and did not observe any health and safety concerns. LPA conducted review of staff file and observed that Staff #1 (S1) did not have criminal record clearance prior to S1’s employment at this facility. S1 had worked without being associated with the facility from March 2025 to 08/28/2025. A citation was issued.

LPA conducted review of facility records and observed that the physical abuse incident occurred on 08/26/2025 was not reported to Community Care Licensing. A citation was issued.

An exit interview was conducted where a copy of this report, LIC809-D, LIC421BG, and Appeal Rights were provided.