Follow-up·April 8, 2025

On 04/8/2025, Licensing Program Analysts (LPAs) Rachel Bruce and Jimmy Duarte conducted an unannounced Case Management visit. LPAs introduced self and met with Kelly Reynolds, Administrator (AD) and explained the reason for the visit. LPAs arrived at the facility to conduct case management visit to relay information about Immediate Exclusion order for Staff (S1). AD was advised an exclusion has been ordered and issued by the Department and provided an exclusion order document for the S1. LPAs verified with AD that S1 has never worked in the facility or been associated. LPAs verified that S1 is not associated or ever has been to the facility staff roster and guardian. No deficiencies sited during this Case Management visit. Exit interview was conducted, report signed on-site, and a copy of this report will be provided to AD for facility records. See confidential names list attached.