Follow-up on corrections·December 6, 2023

Licensing Program Analyst (LPA) Jerome Haley conducted a case management visit regarding information discovered during the investigation into complaint control # 22-AS-20231103104532. During the complaint investigation mentioned above, it was discovered Staff 5 (S5) was working in the facility without being associated. It was discovered S5 was rehired in June of 2023 and is scheduled to work Tuesday – Saturday on the NOC (overnight) shift. S5’s employment and presence in the facility is confirmed by Administrator (AD) Melinda Olivarez, who provided dates of employment, and work schedule, and an LIC500 with S5’s name written on the document dated November 7, 2023. During the investigation into complaint control # 22-AS-20231103104532, Staff 4 (S4) confirmed working with S5, and wrote S5’s name on an incident report (LIC624) dated November 1, 2023 that was faxed and received at the Regional Office November 3, 2023. As of November 7, 2023, S5 was not associated with the facility, and S5’s name was not on the staff roster that was printed by the department. S5 was not listed and associated on the facility roster until December 2, 2023. As a result of today’s Case Management visit, deficiencies will be cited. An exit interview was conducted and a copy of this report, LIC809D, and appeal rights were provided.