complaint·October 17, 2024

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to deliver investigation findings for the above allegation. LPA met with Staff, Anthony Vito, who was informed of the purpose of the visit. The investigation consisted of LPA conducted interviews, documented observation, and conducted records reviews. Regarding allegation, “Licensee falsified staff records” it was alleged that the facility was falsifying CPR training records by having the licensee complete the training for the staff. LPA conducted (3) staff interviews regarding staff CPR training. (3) of (3) staff revealed they have taken their own CPR training online and denied the records were falsified. (1) of (3) staff revealed they had taken some of the modules online for their CPR certificate and had not completed them due to time constraints. LPA conducted records review of (3) staff files and found that (2) of the (3) staff had updated CPR training with a certificate of completion on 9/25/2024. LPA verified the validity of the certificates for the (2) staff with the issuing agency. The remaining staff completed their CPR training on 9/25/2024, LPA verified the certificate and confirmed the validity with the issuing agency. Therefore, there is no evidence to suggest the records are being falsified. Although the allegation may have happened or may be valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided.