Facility Evaluation Report

On March 3, 2026, at 9:55 AM, Licensing Program Analysts (LPAs), LaVette Farlow and Andrew Martinez, conducted a Case Management - Deficiencies inspections. LPAs met with Licensee, Irma Rodriguez, who accompanied LPAs on facility inspection. Licensee confirmed two (2) additional staff and four (4) residents were present at the facility.

At 11:25 AM, LPAs interviewed staff member, Sandra Romero, who stated they hold the job title as Caregiver and has been working various shift times, mainly during the day, at the facility for the past five (5) months. Sandra stated she assists with everything at the facility including assisting residents with going to the bathroom. Upon LPAs staff file reviews, Licensee was unable to provide a staff file on Caregiver Sandra Romero.

LPAs inquired with Licensee the job duties of Sandra Romero and Licensee stated that she was mainly here to assist with cleaning the facility and periodically help with meals a couple days out of the week, but has now become more frequent to at least 5 days a week. Licensee stated that she provides a service to the facility. LPAs informed Licensee that based on the duties being performed, Sandra is required to have been fingerprinted and obtained a criminal record clearance prior to working at the facility. LPAs informed Licensee of the deficiency and that a civil penalty will be assessed.