Follow-up on corrections·January 31, 2022

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of initialing a complaint investigation (#18-AS-20220127103222), and met with Licensee Tyla Kincherlow. During today's inspection, LPA Colvin observed the following deficiency: LPA Colvin learned from the Licensee that she and her mother (S1) are the only current employees at the facility, and both were present during today's inspection. S1 is additionally the acting Administrator while the Licensee is working on getting their Administrator Certificate renewed. LPA Colvin checked the Licensing Information System (LIS) on her computer and observed that S1 is not associated to the facility. LPA Colvin looked up S1 in LIS and further observed that S1 requires an Exemption Transfer in order to be associated to the facility. Deficiency cited. Having someone working at the facility without proper background clearance (or completion of transferring clearance) results in civil penalties in the amount of $100 per day, per individual. Since this is the facility's first citation for this in the last 12 months, the maximum amount of days they can be cited is 5. LPA Colvin will be issuing civil penalties in the maximum amount of $500 ($100 per day x 5 days) during today's inspection. LPA Colvin conducted an exit interview with Licensee Tyla Kincherlow, and a copy of this report, LIC809D, LIC421BG, and appeal rights were provided.