complaint·July 10, 2025

The investigation revealed the following: Allegation: Staff are not ensuring all staff are criminally record cleared The complaint alleges that “applicants are being hired and are being scheduled on the floor before having and passing a live scan and physical/medical testing.” On 07/10/25, at 9:30am, LPA Lee interviewed the Executive Director (A1) who denied the allegation stating that all applicants are criminally and medically cleared before they are able to work on the floor. On 7/10/25 at 10:30am LPA interviewed the Business Office Director (S1) who denied the allegation stating that he personally makes sure all applicants are criminally and medically cleared before hire. On 7/10/25, LPA reviewed the staff roster/schedule (6/23/25), and cross checked with the Department’s Personnel Report Summary (LIS) and did not observe any discrepancies On 7/10/25, LPA reviewed 10 staff files (S2-S11) and of those reviewed, 10 out of 10 had all required criminal clearance and medical clearance documents including TB/chest X-rays. Each staff file reviewed was in compliance with Title 22 regulations and had the required documentation. Based on records reviewed and interviews conducted, there is insufficient evidence to support the allegation that Staff are not ensuring all staff are criminally record cleared. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated . Exit interviewed conduct and report provided to Executive Director, Paul Gozon. No deficiencies cited during today's visit. Page 2 of 2