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25 | Licensing Program Analyst (LPA), Melchisedeck Augustin conducted a Plan of Correction (POC) visit and met with Center Director, Biane Isbeih to follow up on several outstanding POC. On 05/26/23, the facility was cited because the Infant Needs and Services Plan had not been updated quarterly, S2 was missing evidence of negative TB clearance, and S1, S2, S3 & S5’s records did not contain required immunization records. The facility's POC due date was on 06/05/23 and the Department provided the facility with multiple reminders to submit the outstanding POC, however; the facility had not submitted its POC.
During today's visit, LPA reviewed three staff (S1, S2 & S5) records at 8:28am which revealed S2 was missing evidence of negative TB clearance. LPA reviewed nine children's (C1-C9) records at 8:50am which revealed C1-C4, C6 & C7-C8's Needs and Service Plans had not been updated. Discussion with CD indicated S2 was actively attempting to obtain evidence of negative TB clearance and S3 was no longer employed at the facility, and CD requested additional time to obtain the evidence. The Department is granting the facility an extension on the POC due date and S2's evidence of negative TB clearance will be due on 06/30/23. LPA is assessing a civil penalty of $1100 for not ensuring that the Infant Needs and Services Plans were up to date and not correcting the POC.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Center Director. Appeal Rights were provided.
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