Correction check·October 30, 2024

On 10/30/24 Licensing Program Analysts (LPAs) Kevin Gould and Holly Williams conducted an unannounced POC inspection to ensure previously cited deficiencies have been corrected. LPAs met with the licensee to review plans of correction. LPA observed the facility staff is in process of obtaining criminal records clearances and health screening/TB tests as LPAs observed scheduled appointments for health screaming and actions taken to complete criminal record clearances. LPA Gould has not received written plans of correction for health screening and criminal record clearances, an extension was granted to the licensee to complete the written plans of correction by 10/31/24. LPA has not received an LIC 200 and supporting documents to appoint a new administrator who is pending certification so LPA can expedite the administrator approval and ensure there is a certified administrator for the facility. An immediate civil penalty was issued for failure to correct the plan of correction. Exit interview conducted and a copy of this report and appeal rights are left at the facility.