Facility Evaluation Report

On 07/21/2023 at 9:00 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to conduct a Case Management Deficiency. LPA Brown was greeted and granted entrance by Administrator Elizabeth Gonzalez. LPA Brown identified herself and discussed the purpose of the visit and the elements of the allegation with Administrator Elizabeth Gonzalez.

During the facility visit, LPA Brown toured the facility and observed that Staff #2 (S2) had been working at the facility, listed on staff schedule with criminal record clearance but not associated to the facility. Administrator Gonzalez confirmed with LPA Brown that S2 had been working at the facility since 03/23/2023. LPA Brown informed Administrator Gonzalez that S2 must be associated to the facility and deficiency will be issued as this pose potential safety risks to clients in care.

Civil penalty was assessed with the amount of $500.00 during the facility Visit for failure to associate/transfer S2 Criminal Record Clearance to the facility.

An exit interview was conducted where this report, LIC809, LIC809D, LIC421BG and Appeal Rights were discussed and provided to Administrator Elizabeth Gonzalez.