Complaint·April 3, 2024

The investigation revealed the following: Regarding the allegation: "Facility does not have an Administrator.". It has been alleged that there is no licensed administrator at the facility. Interviews revealed that six (6) out of 7 staff and four (4) out of 7 residents have denied the allegation. Record reviews revealed that the facility manager, Meshulem "Michael" Weiss ( S9 ), was indicated on the LIC308 - Designation of Facility Responsibility as a designated substitute, who has the qualifications adequate to be responsible and accountable for management and administration of the facility as specified in regulation 87405. On 04/03/24, S2 was present at the above-mentioned facility and had been placed on the LIC308 - Designation of Facility Responsibility and that the facility. S2 will be informing the state licensing agency regarding the change of authorization on or before Friday 04/05/24, which is within the ten-day reporting requirement period of the change in authorization. LPA reviewed S2’s staff records. Record Reviews indicate S2’s application for Administrator certificate as pending. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated . Regarding the allegation: "Licensee does not follow proper admission procedures with residents in care.". It has been alleged that there has been fifty (50) new residents within the past two months. Interviews revealed that 6 out of 7 staff and five (5) out of 7 residents have denied the allegation. Record reviews revealed that there were twenty-eight (28) residents admitted between the months of February and March. LPA also reviewed each individual’s recent medical assessment from each residents’ Physician. The facility was also able to provide pre-admission appraisal forms for the previously mentioned residents, which verifies the status of resident admissions are appropriately followed. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated . Regarding the allegation: "Licensee is not ensuring that there are enough staff to meet the needs of residents in care.". It has been alleged that the facility has not kept up on proper staffing with all of these new (50) residents. Report continues, see LIC9099C. Interviews revealed that 5 out of 7 staff and all 7 residents have denied the allegation. Through interviews conducted, there are between 4 and 5 caretakers during each shift. LPA requested staffing updates and LPA was provided a staff roster of February and March. Record reviews revealed that there are 40 staff, twenty (20) of which are caretakers and 7 of which are med-techs. After reviewing these numbers, it has been calculated that the ratio of staff to residents has been sufficient to provide care to the residents during the months of February and March. Based on record reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated . An exit interview was conducted with Meshulem "Michael" Weiss (S9), and a copy of this report has been provided.