complaint·February 11, 2026

P1 shadowed with the administrator and Staff #1 (S1) on 01/04/26 and was supervised from midnight to 8:00 a.m. on 01/05/26. The administrator provided care to residents during P1’s time in the facility. Interview with Resident #1 (R1) at 1:00 p.m. on 01/15/26 revealed P1 cleaned during their shift. Interviews with R1, Resident #2 (R2) at 1:25 p.m., and Resident #3 (R3) at 1:45 p.m. on 01/15/26 revealed P1 did not provide any assistance with activities of daily living. Record review revealed all staff present for today’s visit had criminal background clearances, however no staff file was available for P1. Based on interviews and record review, although P1 did not perform any staff duties and was supervised, the administrator confirmed they did not obtain a criminal background clearance prior to entering the facility. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is issued on the corresponding LIC 9099-D page. A civil penalty in the amount of $100 is issued on the corresponding LIC 421-BG page. No immediate health or safety hazards were observed during today’s visit. Exit interview conducted. Appeal rights discussed. Copy of report provided. Interview with S1 at 1:20 p.m. on 01/15/26 confirmed they shadowed with P1 on 01/04/26. Record review of staff trainings records revealed the administrator, S1, and Staff #2 (S2) all had required trainings. Interview with Resident #1 (R1) at 1:00 p.m. on 01/15/26 revealed P1 cleaned during their shift. Interviews with R1, Resident #2 (R2) at 1:25 p.m., and Resident #3 (R3) at 1:45 p.m. on 01/15/26 revealed P1 was “getting familiar with the home” and did not perform staff duties. R1 also stated P1 was supervised by the administrator and S1. Interviews with R2 and R3 confirmed P1 did not provide any care for them. Based on interviews and record review, P1 shadowed with staff and did not perform duties requiring training. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.