complaint·October 2, 2024

Amended to make Public: On October 2, 2024, Licensing Program Analyst (LPA) De Anna Williams-Lyons arrived unannounced to deliver findings for complaint # 59-AS-20240906113641. LPA met with Michelle Fraunhoffer, Caregiver, and informed her the reason for the visit. The Department received a complaint alleging the Licensee does not ensure that staff have a criminal clearance, Licensee does not ensure that staff have a medical clearance, and Licensee did not report an incident to the appropriate parties. LPA investigated the complaint by reviewing resident and facility files and conducting interviews with residents and staff. LPA also obtained staff schedules and rosters and other documentation pertinent to the complaint. LPA reviewed the facility’s active employee roster. On the active roster, there was 15 potential staff that could be hired. The facility has employed 7 out of the 15 on the list. The 7 employees hired had criminal background clearances from the department in their employee file. Licensee stated only those that pass the Criminal Background Clearance will be considered for employment. Allegation Unfounded.