Follow-up on corrections·June 2, 2023

On 06/02/2023 at 10:45 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility for a Case Management Deficiency visit. LPA Brown identified herself and discussed the purpose of the visit with Business Office Manager Liseth Gomez During the facility visit today, LPA Brown toured the facility, observed residents in care in the dining area during the visit. LPA Brown requested a copy of Resident Roster and LIC500 Personnel Report from Executive Director Julie Dion. LPA Brown interviewed Staff # 4 (S4), reviewed staff working at the facility in reference to the provided LIC500 Personnel Report and Guardian Background System and interviewed Staff # 2 (S2) and both S4 and S2 confirmed that S4 had been working at the facility for about four years now with criminal background clearance but the facility failed to transfer S4's criminal background clearance to the facility. LPA Brown explained to Business Office Manager Liseth Gomez that deficiency will be issued as this pose potential health, safety and personal rights risks to residents in care. A civil penalty of $500.00 was assessed for Staff #4 working at the facility with criminal background clearance but the facility failed to transfer S4's criminal background clearance to the facility for S4 to be associated to the facility and will continue to be assessed of $100.00 per day until corrected during the visit. An exit interview was conducted where this report, LIC809, along with LIC809D, LIC421BG and Appeal Rights were discussed and provided to Business Office Manager Liseth Gomez