Follow-up·November 26, 2024

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced on a subsequent visit. LPA Valerio met with two (2) facility staff members, and explained the purpose of the visit. LPA Valerio observed the facility's regular day time staff, Etta Mae. LPA observed a new staff member. LPA Valerio took her name down and did not observed the resident on the associated staff roster. According to Administrator Beatrice, the new staff member is not working but will soon be working after she is associated. Beatrice stated the staff went to get their fingerprints but they are waiting for the approval letter. Beatrice stated a previous LPA informed her staff can be present as long as they are not working with residents. Administrator Beatrice stated the staff was present for only two days and doing one to two hours of training. LPA Valerio observed interactions and conversations with residents and staff. According to Resident 1 (R1), the new staff member has been helping R1 get better so that R1 can get out of here. R1 hugged the new staff member. According to a conversation with a family member of a resident and staff, staff informed the family member that they assisted Resident 2 (R2) with doing exercises yesterday. Based on records review, observations, and interviews, the licensee allowed a facility staff to work in the facility without obtaining a cleared fingerprint clearance. The licensee was made aware an immediate penalty of $100 per cited violation per day for a maximum of five (5) days shall be assessed. The licensee was made aware a civil penalty in the amount of $200.00 will be assessed on today's date due to the staff member being at the facility for two days. An exit interview was held, and a copy of the report was provided. Appeal rights were provided. Failure to correct deficiencies may result in additional civil penalties.