Follow-up·February 6, 2024

Licensing Program Analysts (LPAs) Melissa Parks and Kevin MKnelly arrived on Tuesday February 6, 2024, to conduct a case management visit and met with staff. LPAs spoke with the Administrator on the phone and explained the purpose of the visit. On January 2, 2024, LPA Parks arrived at the facility to begin a complaint investigation. At the time of the visit, S1 was at the facility with another staff member. Following the visit, LPA checked for S1’s criminal background clearance and association to the facility and found that S1 was not eligible to work in a licensed facility. As a result of this incident, the following deficiency was cited on 809-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Civil penalties were issued. Exit interview conducted. A copy of this report and appeal rights were emailed to the Administrator.