Routine inspection (multi-day)·October 30, 2024

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Case Management - Annual Continuation visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Raymond Abedoza. LPA spoke with Licensee Zayden Chen via telephone during the visit. Administrator Lynn Drummond arrived during the visit. During today's visit, LPA observed residents in care, reviewed facility files, and interviewed staff. During the visit, LPA Ruiz observed that Staff 1 (S1) was present and working at the facility. [Administrator was provided with an LIC811 Confidential Names List to identify S1] Review of Guardian revealed that S1's background clearance had expired. Interviews with staff revealed that S1 has been working at the facility for more than 5 days. LPA observed S1 leave the facility prior to the end of the visit. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. The following deficiency was cited for criminal background clearance and noted on the attached LIC809-D page. Additionally, a civil penalty in the amount of $500 was assessed for uncleared staff and noted on the attached LIC421BG form. An exit interview was conducted with Administrator Lynn Drummond, whose signature below confirms receipt of a copy of this report, the LIC811, the LIC421BG, and the Licensee Appeal Rights (LIC9058 3/22).