Follow-up on corrections·August 4, 2023

On 08/04/2023 at 09:45 AM, Licensing Program Analyst (LPA) Melody Brown met with Memory Care Director Denise Perez to initiate Case Management Visit. The investigation consisted of observation, interviews and a review of pertinent documentation. During the facility visit on 08/04/2023 at 10:15 AM, LPA Brown reviewed documents and observed that Staff #4 (S4) and Staff#5 (S5) have a current criminal background clearance but S4 and S5 are not currently associated to the facility. Staff interviews and records review indicated S4 had been working at the facility since 06/07/2023 and S5 had been working at the facility since 02/19/2019. LPA Brown informed Memory Care Director Perez that deficiency will be issued as this pose potential health, safety and personal rights risks to residents in care. LPA Brown reviewed compliance history and observed that the facility was issued the same deficiency for a staff working at facility and the facility failed to transfer staffs’ criminal background clearance on 04/18/2023. Civil Penalty was assessed for repeat violation on Criminal Background Clearance within a 12-month period with the amount of $3,000.00 per individual and will continue to be assessed of $100.00 per day per citation until corrected during the facility visit today due to the facility allowed S4 and S5 to work and failed to transfer S4 and S5 Criminal Background Clearance to the facility. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to Memory Care Director Denise Perez.