Facility Evaluation Report

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a case management visit regarding a deficiency observed. LPA met with staff and explained the purpose of the visit. Today's visit, LPA was informed Administrator is unavailable due to an emergency.

Upon LPA's visit, LPA observed staff (S1) to be working at the facility. When asked S1 confirmed S1 has been living at the facility since Monday October 27, 2025.

File review on Guardian, LPA observed that S1 has a status of "in process" for fingerprint clearance. LPA informed staff that all individuals working, volunteering and residing at the facility will need a criminal record clearance prior to initial presence at the facility.

A copy of facility's current Guardian roster was provided to staff to confirm that S1's criminal record clearance is still pending.

Today's visit, deficiencies cited. Please see LIC809-D.

Exit interview and a copy of the report and appeal rights provided.