complaint·December 29, 2025

(PAGE 2) Report continued from LIC 9099... On the allegation Licensee did not ensure staff have criminal record clearance and/or exemption prior to presence in the facility it is the concern of the Reporting Party (RP) that Staff #1 (S1) and Staff #2 (S2) who work in the kitchen have been working at the facility without a criminal record clearance. To investigate this complaint LPA’s conducted three (3) in person interviews with the Administrative Assistant at 10:35 a.m., the Dishwasher at 11:29 a.m. and the Cook at 11:34 a.m. LPA's reviewed the live Guardian roster and reviewed and obtained copies of pertinent documents relevant to the investigation. Interviews with the Administrative Assistant revealed that the facility had a case management visit conducted on 11/18/2025 and were cited for criminal record clearance for both S1 and S2. Since 11/18/2025 both S1 and S2 have not returned to work at the facility, and as of today they do not plan on having them return. It was also noted that the facility disassociated S1 at the time of the visit on 12/29/2025. Interview with the Dishwasher revealed that S1 did work at the facility, however since the visit on 11/18/2025 S1 has not returned to work at the facility. S2 worked at the facility occasionally to fill in, however since 11/18/2025 has not returned to work at the facility. Interview with the Cook revealed that S1 no longer works at the facility and has not returned since 11/18/2025. S2 was occasionally working at the facility filling in when coverage was needed, however S2 has not returned to work at the facility since 11/18/2025. At 12:30 p.m. live Guardian roster review revealed that S1 was added to the facility roster on 11/18/2025 with a pending status and is still showing as pending. S2 is not listed on the facility roster. At 4:00 p.m. a live Guardian roster review revealed that S1 was separated from the facility as of 11/18/2025. Facility records revealed that on the Personnel Report- LIC 500 dated 12/15/2025 it does not list S1 or S2. Although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation of Licensee did not ensure staff have criminal record clearance and/or exemption prior to presence in the facility is deemed unsubstantiated at this time. Exit interview conducted. A copy of the report provided.