Follow-up on corrections·November 26, 2024

On 11/26/2024 at 01:30 PM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to commence a case management visit. LPA Brown was greeted and granted entrance by a staff member and LPA Brown met with House Manager Eldalin De Deugd. At the time of the visit, there were fifteen (15) residents, and five (5) staffs present. During today's visit, LPA Brown observed Staff #10 (S10) working at the facility and per documents review, LPA Brown noticed that S10 has criminal background clearance but S10 criminal background clearance was not transferred to the facility prior to S10 employment. Also, staff interview and records review indicated that S10 started working at the facility on 01/2024 and S10 reported to LPA Brown that S10 worked at the facility for 75 days. House Manager De Deugd was informed that deficiency will be issued. Also, per records review, the facility was cited for the same violation 87411 Personnel Requirements(g)(2) on 07/15/2024 which is within the 12-month period. Therefore, a Civil Penalty will be assessed with the amount of $3000.00 and will continue to be assessed of $100.00 per day per citation until corrected for not transferring S10 criminal background clearance to the facility prior to employment. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to House Manager Eldalin De Deugd.