Follow-up on corrections·November 7, 2023

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into complaint #18-AS-20231103101819. The LPA met with Administrator, Linda Thomas, and informed her of the purpose for her visit. During the visit the LPA observed Staff Three (S3) to be in the facility and to be providing transportation to residents. The LPA did not observe S3 to be on the personnel roster. According to Administrator Linda, S3 is a family member who does provide some assistance with tasks in the facility. She reported she has not yet had S3 fingerprint cleared. No background check clearance was observed for S3. Therefore, a citation and civil penalty will be issued. An exit interview was conducted; this report was reviewed with Linda and a copy was provided, along with LIC 811 and instructions on appeal rights.