Facility Evaluation Report

On 08/14/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a case management visit. LPA met with House Manager (HM), Nadia Falconer and explained the purpose of the visit. LPA asked that HM Falconer call the Licensee to inform them that CCL was present at this time. It was learned that the Licensee was unable to be at this visit and informed HM Falconer that they continue the visit with LPA Pascua.

Current census was 4. 3 out 4 residents were out at their respective day program. A brief interview with HM Falconer was conducted.

The purpose of this visit was to follow up on the Facility Designated Administrator. On 08/01/2024, LPA Renee Campbell conducted an annual visit at this facility and it was learned that the Facility Designated Administrator was no longer working at this facility. On 08/08/2024, a review of the facilities staff roster on Guardian was conducted and found that the Facility Designated Administrator (FDA), Norma Borges was separated on the staff roster on 06/17/2024.LPA Pascua conducted a phone call with former administrator who also confirmed that they provided their notice sometime in June and no longer work at this facility. LPA reviewed facility records which confirm that the department was not notified that the current administrator on file no longer worked at this facility.

On 08/08/2024 at 10:23am, LPA Pascua emailed Licensee Julian Hawes to inform him that there currently no certified administrator at this facility. LPA Pascua asked Licensee Hawes to provide supplemental paperwork to designate a new administrator to the LPAs email by 08/13/2024 at 5:00pm. As the date of this visit, 08/14/2024, this LPA has not received any paperwork to designate a new certified Administrator. In addition, LPA Campbell contacted Licensee Julian Hawes via to request administrator documentation.