Follow-up·August 6, 2024

On 08/06/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced case management visit to follow up on an immediate exclusion order issued 07/11/2024 for Staff #1 (S1). LPA met with Director of Human Resources Jenny Firth and explained the purpose of the visit. LPA reviewed the facility’s fingerprint clearance roster and observed S1 was still associated to this facility as of the date of this visit. S1 had been originally associated to with the facility on 05/30/2024, and remained associated according to multiple Licensing Agency background check system(s). Director of Human Resources Jenny Firth disassociated S1 from the facility fingerprint roster during this Confirmation of Removal Case Management visit. The Director of Human Resources stated S1 had not been physically present in the facility since 07/16/2024, the date when the exclusion order was received by the Licensee. LPA interviewed other staff in the facility who confirmed S1 had not been present recently. LPA reminded the Director of Human Resources that any further presence of S1 in the facility or interacting with clients violates the exclusion order and the facility could be subject to deficiencies and civil penalties if they do not abide by the order. Exit interview conducted. Copy of report provided to the facility.