Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a case management – plan of correction (POC) visit at 10:30 AM. LPA was greeted by front desk receptionist and explained the reason for the visit. LPA met with Michelle Gubbay, Director of Resident Services, Mirian Rubinstein, Facility Designee, and Michael Sokolowski, Executive Director (ED) and the reason for the visit was explained. Entrance interview conducted.

The purpose of this visit is to follow up on the plan of corrections that was not submitted by the POC due date of 06/18/2026. On 06/17/2026 LPA Kelly Dulek conducted the annual inspection and the facility was cited for one (1) staff not being finger print cleared and seven (7) staff not being associated to the facility. During todays visit LPA was informed that two staff no longer work at the facility and it was an error on their end for not removing them from the LIC 500 - Facility roster. During todays visit LPA was informed that the facility does not have access to the email that is associated with their Guardian account and are in the process of regaining access. During the visit LPA informed the facility that they can submit the LIC 9182 Criminal background clearance transfer request form and submit it to the Regional Office if they are unable to associate the staff on Guardian. At the time of the visit the ED stated they would be submit the required documentation today 06/30/2026.LPA informed the ED that because the facility did not correct the deficiency within the given time frame a civil penalty in the amount of $1,200 is being assessed on today’s date for the failure to correct HSC 1569.605 by 06/18/2026. The penalty amount of $1,200 is calculated as $100/day past the due date of the POC (12 days x $100/day= $1,200). LPA informed the ED that penalties in the amount of $100/day will continue to be assessed until the Department receives the LIC 9182 forms for the six (6) staff. Pursuant to HSC, the following civil penalty was assessed (refer to LIC 421FC): Exit interview conducted and copy of the report was issued and appeal rights provided.