complaint·September 24, 2024

Interviews conducted with four staff, all confirmed completing the required annual training and confirmed the training records were not falsified. Mandated Reporter trainings were covered under the Dementia and Residents Rights topics which was verified by Administrator Venus Bravo. Therefore, based on the interviews which were conducted and the records that were reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the following allegation: Licensee falsified staff records is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Venus Bravo and House Manager Arnold Bravo, and a copy of this report was provided at exit. Per review of the 2024 training records, three out of the three staff completed 31 out of the 20 training hours required. Regarding the two former caregivers, who were temporarily working at this facility as relievers, LPA verified per training records both completed their 40 hour annual training in 2022 at another facility operated by the same licensee. Interviews conducted with the current three caregivers, three out of three reported attending and completing the trainings per records. Interviews conducted with residents, one out of the six residents confirmed observing the trainings on site while the remaining residents did not recall and/or observe due to medical conditions. It is alleged that the licensee did not ensure facility has a certified administrator. The administrator's certificate for Venus Bravo expired on August 4, 2024 and on May 13, 2023 for Arnold Bravo. Per review of the Certificate of Completion dated May 31, 2024, Venus Bravo completed the coursework and submitted the renewal documents to the Department around June 2024 as noted in the email correspondence. Facility has not received the current certificate due to a back log in issuing certificates by the Department. Administrator has completed all required coursework. Administrator stated that Arnold Bravo will not be renewing their certificate and is acting as the House Manager. Therefore, this agency has investigated the complaint and based on the observations made, interviews which were conducted, and the records that were reviewed, the following allegations: Licensee did not ensure staff completed required training hours and Licensee did not ensure facility has a certified administrator are deemed UNFOUNDED. We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted with Administrator Venus Bravo and House Manager Arnold Bravo, and a copy of this report was provided at exit.