Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen met with staff member Cielita Ravelo at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office 04/11/2023 at 12:05 PM to initiate a Case Management Office Visit.

LPA Allen requested that the Cielita Ravelo come to the office to sign an amended complaint investigation control number 56-AS-20230314095023 that was conducted on 4/7/2023 and during the visit LPA identified (3) three staff members who were not associated to the facility at the time of the visit.

This poses an immediate Health and Safety risk to those in care. The licensee was cited and Cielita was provided the LIC809, 809-D, and LIC421-BG with the appeal rights at the conclusion of the visit.

An exit interview was conducted where this report was discussed and a copy of the report was provided to Cielita Ravelo at the conclusion of the visit..