Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived to the facility unannounced to open an initial complaint investigation. During visit, a case management visit was conducted. LPA met with Executive Director (ED) Diane Atkinson and Business Officer Director (BOD) Kippie Castronovo.

During the complaint investigation, LPA and ED toured the Garden House unit and it was observed staff (S1) was not associated to the facility personnel report summary. Upon the review of the Guardian Background Check System, it was determined S1’s application is incomplete therefore is not fingerprint cleared. S1 was immediately dismissed from work and was informed S1 would not be able to work at the facility until they obtain a fingerprint clearance. LPA provided S1 with the document that was mailed to S1's mailing address from Guardian. BOD confirmed S1 has been working in the facility for more than 5 days.

LPA observed three staff members who was not associated to the facility but are fingerprint cleared. Two out of three staff members were associated to the facility's old license. One out of three staff members (S2) is not associated to the facility and has been working in the facility for more than 5 days. BOD will submit the LIC9182 form along with other needed paperwork by end of business day.

Deficiencies were cited during today’s visit, see LIC 809-D. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500), for staff (S1) working at the facility without fingerprint clearance. A second civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500), for staff (S2) working at the facility without association. Please see LIC 421BG.

Exit interview was conducted with Executive Director Diane Atkinson and a copy of the report was provided along with the appeal rights.