Complaint Investigation Report

Regarding the allegation: facility failed to designate a backup administrator. It is alleged that the facility failed to designate a back-up administrator when the administrator is on leave of absence. Based on the facility files collected and reviewed on 05/09/2024, revealed that the administrator/Licensee had designated the assistant administrator at the be their replacement in the event of administrator is absent due to vacation or emergency leave, dated 01/28/2008. Further review and inspection of records reveal that the designated responsibility was documented should the current administrator goes on leave of absence, a replacement has been designated to oversee the facility responsibilities dated 07/15/2023.

Therefore, there is no evidence to support that the facility failed to designate a back-up administrator.

Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, there fore the allegation is unsubstantiated.