complaint·October 20, 2025

Allegation: Licensee is not ensuring the facility Administrator is qualified. It is alleged that Executive Director Austin Morris does not possess an RCFE Administrator Certification. During a complaint investigation visit, the LPA observed the Administrator’s Certificate displayed at the facility entrance. The certificate lists Chad Coleman as the Administrator, with an effective date of January 10, 2023, and an expiration date of May 10, 2025. Upon further investigation and review of the CDSS Administrator Certification Online Application Portal, the LPA confirmed that Chad Coleman submitted all required documentation and completed the necessary training for his certification renewal. It was also verified that Chad Coleman is the current Facility Administrator, and that Austin Morris is not required to hold an Administrator certification. Based on the information gathered during the investigation through observations and document review, the allegation mentioned above is deemed Unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview was conducted and a copy of the report was provided to Executive Director Austin Morris. Allegation: The Administrator is not present in the facility. It is alleged that the Administrator was last seen in the community in October 2024 and on January 16, 2025. Based on interviews, three out of three residents denied the allegation that the administrator was not present in the facility. Five out of six staff denied the allegation, while one confirmed that the administrator was not present in the facility. Additionally, five staff confirmed the administrator is at the facility at least two times during the week, four to eight hours a day. Based on review of the facility’s staff schedule, administrator’s name was not included, however, during an unannounced visit at the facility in September 2025, LPA Kim observed the administrator was present. Based on records review, interviews, and observations, LPA did not find sufficient evidence to support the above allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated . Exit interview was conducted and a copy of the report was provided to Executive Director Austin Morris.