Follow-up·January 5, 2024

At 8:20am on 01/05/2024, Licensing Program Analyst (LPA) Jeffries arrived at the facility to conduct an unannounced annual inspection. Upon arrival LPA was greeted at the door by Henie Cabrilla. LPA announced who he is and the reason for the visit. LPA asked for the Administrator and the Administrator was not present. LPA observed Henie Cabrilla adjust resident in chair then working the the facility kitchen, and additionally stated "I just fed the residents", when asked by LPA if he could sit at the table. LPA interviewed Henie Cabrilla while waiting for the Administrator/Licensee to arrive and discovered that Henie Cabrilla was a sibling of the Administrator and had been visiting for "about a month". Additionally, Henie Cabrilla was leaving the facility on Sunday 01/07/2024, then returning to the Philippines on 01/26/2024. LPA pulled LIS facility roster and pulled Guardian roster for this facility and Henie Cabrilla was not cleared on either roster and denied having been fingerprinted. Administrator Evelyn Strempe arrived approximately 15 minutes after LPA initially arrived at the facility. LPA notified Administrator and Henie Cabrilla that they were not cleared on the facility roster, not fingerprinted and therefore could not provide care for Residents and at all times when it the facility had to have a cleared staff present if they were visiting. Administrator and Henie Cabrilla stated that they both understood and subsequently a citation is issued. LPA continued annual facility inspection on a separate report on this same visit. Exit interview, report read, citation issued, appeal rights and report provided.