complaint·July 18, 2023

The investigation revealed the following: interviewed with residents from R1 to R5, all five (5) out of five (5) residents interviewed revealed that administrator had present enough hours at the facility and staff had the knowledge on taking care of residents. Interviewed with visitors from V1 to V3, all visitors interviewed revealed that administrator had present enough hours at the facility and staff knew how to take care of the residents. Four (4) out of four (4) staff interviewed and denied the allegation. LPA conducted a file review. File review revealed that administrator had present at least 40 hours/ week at the facility and staff’s in-services training were current. However, administrator certificate was not current and expired on 6/8/23. Administrator stated the certificate renewal was in process and the expected completion day would be the end of August 2023. Therefore, facility did not have a qualified and currently certified administrator. Based on LPA's observations, record reviews and interviews conducted the preponderance of evidence standard has been met, therefore the above allegations are found SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8 on LIC 9099D. An exit interview was conducted with Administrator. A hard copy of this report and appeal right were provided.