Facility Evaluation Report

On 12/27/2024, Licensing Program Analyst (LPA), Janette Romero made an unannounced visit to the facility to address a deficiency observed during a case management visit at the facility on 12/27/2024. LPA met with Licensee, Robert Jazmin who was informed of the purpose of the visit.

During today's visit, LPA observed Client 1 (C1), Client 2 (C2), Staff 1 (S1), and Staff 2 (S2) present in the facility. LPA conducted a record review and discovered S1 did not possess a criminal record clearance or exemption to work or reside in the facility. Licensee was interviewed and reported S1 is a live-in staff and has been working as a caregiver in the facility providing care and supervision to the clients since 12/23/2024. S2 had a criminal record clearance. As a result, the facility was cited and assessed a civil penalty. An exit interview was conducted and a copy of this report was reviewed and provided to Licensee along with LIC 809-D, LIC421BG, and Appeal Rights.