Emerald City Esf II LLC

The facility failed to develop and implement a system ensuring staff received tuberculosis testing upon employment or starting service. Staff A and Staff C lacked documentation of TB testing within three days of employment; Staff A stated they had not received a TB test when resident services began.

The facility failed to ensure a mental health professional was available and onsite for at least eight hours per day to provide care and services to all eight residents. No mental health professional was scheduled for the required eight-hour periods on 2026-05-28 and 2026-06-13.

The facility failed to ensure background authorization forms and checks were completed within one business day of employment for 3 of 3 facility staff and 6 of 6 contracted housekeeping staff. Records lacked timely background-check documentation, and staff reported being unaware of the requirement and timelines.