complaint·March 25, 2025

Allegation 2: Staff do not ensure the facility is comfortable for residents. Based on interviews and observations the department found the facility is not providing the residents a comfortable environment to reside. The licensee resides at the facility as their permanent residence. The Licensee has (2) two young children (4 years old and 5 months old) that reside at the facility as well. Interviews indicated (2) residents have expressed discomfort from the children enter their bedrooms and taking their belongings. On 02/12/2025 LPA Gunby conducted a case management visit and observed a 5-month-old child at the facility. During this visit the administrator needed to change a resident’s briefs, while also caring for the child. LPA observed admin left the child to cry on the bed, while they assisted the resident. During a visit on 03/06/2025 LPA did not observe a child at the facility. As a result of this investigation, LPA finds allegations to be Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Allegation 1: Administrator is not present at facility a sufficient amount of time During the investigation, LPA reviewed administrator qualification, staff time sheets, and obtained copies of facility documentation. The current facility administrator Bianca Gheju does have a valid administrator certificate, and certificates were obtained prior to assuming the role as administrator. Facility documents show that the Administrator is at the facility every day and as needed. Documents also show there is sufficient staff at the facility to meet the resident’s needs. Before the complaint was made, the administrator was on medical leave. The administrator had a complete LIC308, designation of facility responsibility. Based on staff interviews and the information received, LPA finds the above allegations to be Unfounded meaning that the allegation is false, could not have happened, and/or are without a reasonable basis . Allegation 3: Staff are not qualified to administer medications. Based on staff and resident interviews along with record review, the department determined staff was qualified to administer medications. LPA obtained physician report, medication records, admission agreement, service plan, and training records. LPA obtained doctors notes stating R1 can request the PRN every 6 hours. Staff have completed all medication training and are qualified to administer medications. Staff contained the required training requirements and facility obtained the required doctor’s orders; therefore, the above allegations are Unfounded . A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis . Allegation 4: Staff are not providing residents with adequate food service. Based on staff and resident interviews along with observations of the kitchen and meal service, the department found that there was an adequate amount of food for the residents. The food appeared to look appetizing and nutritious, sanitation in the kitchen appeared appropriate, residents said food was good, and portions appeared plentiful. Food supplies in facility were adequate per requirement. Currently, there is no evidence to suggest that staff have failed to provide adequate food service. Therefore, the allegation is Unfounded . A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.