Facility Evaluation Report

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a case management visit. LPA was met by administrator. LPA explained the purpose of the visit.

The department was sent an updated roster on 02/25/2025. A person was written on the roster that can not be found in guardian. Facility was able to provide finger prints for the person dated 10/19/1984. and a previous roster with them listed in guardian from 2003. Administrator stats this person is his sister and he has never disassociated this person from the facility.

This matter is still under investigation. Administrator was informed to not have this person in the facility until this matter was resolved.