Complaint Investigation Report

Allegation: Facility does not have a certified Administrator.

It is alleged that facility administrator Elizabeth Gherna is out of state and not actively working as facility administrator. LPA spoke to Steven Rudoy, Executive Director of Clearview Treatment Programs, who stated Liz Gherna was the Administrator, but that she had been moved to other duties, so they had instated Jasmine Lucas as administrator. Ms. Gherna’s administrator license expired on August 31, 2021. Per Dr. Rudoy, Ms. Lucas was taking the classes to satisfy the requirements for a certified administrator and had submitted the documentation to CCLD. Per Community Care Licensing Administrator Certification unit, packet was received for Jasmine Lucas on 10/8/2021. LPA was notified on 11/16/2021 that Ms. Lucas would no longer be administrator and that Leilani Le would be taking the classes to become a certified administrator. As of 3/22/2022 LPA Cifuentes was able to confirm that the administrator certification section has received an administrator packet for Leilani Le but are behind on processing it. LPA was unable to confirm when the payment for the certification was cashed or if there have been any other delays in processing due to the holidays or Covid-19 pandemic. LPA interviewed staff 1-staff 7 regarding allegations. When asked if the facility had an administrator, three named the past administrator Liz Gherna, one named Jasmine, two were unsure and one named the house administrator. LPA spoke to clients 1-client 3 regarding allegation, one named a house administrator and the other two were unaware an administrator was needed.

Based on information gathered, the Department did not find sufficient evidence to support the allegation mentioned above

It is alleged that staffing ratios are below requirements causing quality of care concerns with clients amongst other issues. LPA reviewed facilities program plan, which does not give a specific ratio of staff to residents, it does however discuss the continuous monitoring and supervision of clients. LPA Cifuentes spoke to Emily Osbourne regarding the Ratio of staff to residents. Per Ms. Osbourne, there is no set ratio, the amount of staff needed is based on client’s acuity but that she felt there were enough staff to see to the needs of the clients in care. LPA reviewed the staff schedule for November 1 to November 14, which showed two staff on the AM and PM shifts and one staff overnight. When LPA was touring facility, she saw two staff, and later on met the house administrator. LPA asked facility clients if they believed the facility had enough staff. Two out of the three clients interviewed stated facility did not have enough staff. LPA Cifuentes spoke with facility staff, of the seven questioned, three stated there where days they felt they were short of staff, while the other four stated they thought the facility had enough staff.

Based on information gathered, the Department did not find sufficient evidence to support the allegation mentioned above.