Follow-up·October 28, 2022

On 10/28/2022, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting a case management inspection. LPA was greeted and granted entry by Darlene Lindley after explaining the purpose of the visit. During the visit, LPA requested and obtained the facility census and roster. Per the provided roster, all staff are found to be background cleared at the time of the visit. With the exception of two staff, all staff members are correctly associated with the facility in Guardian. Licensee is reminded of its requirement to maintain updated and accurate staff associations in Guardian at all times and will need to update association status for staff members S1 and S2. A Technical Advisory regarding this requirement is being issued during the visit. Exit interview conducted with facility representative and a copy of the report was left at the facility.