Follow-up·September 8, 2022

Licensing Program Manager (LPM), John Rante, and Licensing Program Analyst (LPA), Riza Alvarez, conducted an unannounced case management visit. LPM and LPA met with Administrator Channa Kelly and we discussed the purpose of the visit. The Regional Office was notified of a Default Decision & Order regarding an individual identified as a staff member at the facility (Staff 1 - S1). The Default Decision & Order specifies that S1 is excluded from any care facility licensed by the Department for the remainder of their life. This was ordered on 09/01/2022, and is set to become effective on 09/12/2022. LPM and LPA conducted a brief tour of the facility and interacted with staff and residents. All staff who interacted with the LPM and LPA on today's date, have a current criminal record clearance. All residents observed by the LPM and LPA also appeared appropriate for the facility. During today's visit, it was discovered S1 was hired by the facility and worked from 07/20/2020, to 07/25/2020. The current association type for S1 is listed as "pending," and never should have been allowed to work at the facility without an appropriate criminal record clearance. A civil penalty is being issued today in violation of Title 22 regulations in the amount of $500 on form LIC 421BG. An exit interview was conducted with Channa Kelly. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to Channa Kelly at the conclusion of the visit.