Facility Evaluation Report

A virtual Informal conference was conducted today on 06/19/2023 at 9:00 AM via Microsoft Teams. The purpose of the meeting is to discuss complaint allegations and non-compliance concerns. Present in the meeting are Licensing Program Manager Czarrina Camilon-Lee, and Licensing Program Analyst Pang Lee, Licensee Unaisi Waqalala. The informal conference process was explained during this meeting to include the administrative process.

The following concerns were discussed: Recent allegation, staff fingerprint clearances, staff associations, staff elopement, staff files, mandated reporting and Technical Support Program (TSP).

The facility has stated they will do the following to achieve continued and substantial compliance:

· Ensure hired staffs are fingerprint cleared and trained before staff starts working at the facility.

· Ensure all staff are compliant with all required training's.

· Conduct training for all staff and ensure all staff knows where staff and residents file are kept in the facility.

· Ensure all staff and resident files are current and complete.

· Ensure and train all staff to be comfortable and not get nervous when CCL visits

· Ensure two current staff completes their administrator training and are associated to all facilities

· Ensure all staffs are associated to facility Abounding Peace Elderly Care 342700827, Abounding Peace Elderly Care II 342701091 and Abounding Peace III Elderly Care 342701174 staff not associated to other facilities when coverage is needed.