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32 | S2 stated that the licensee had the necessary arrangements in place of operating the facility. S3 stated that the licensee had control of the property. W1 stated that the facility is authorized to occupy and operate at the property. W1 stated that the property arrangement is associated with the corporation and that Aiming 4 Success LLC and Aiming 4 Success #2 refer to the same entity. Records review revealed the following: LPA reviewed the commercial lease agreement. The agreement identified Aiming 4 Success LLC as the tenant for the property. The lease agreement documented a term commencing on 04/01/2024 and expiring on 03/31/2027. The lease agreement also stated that the property would be used as an adult residential facility. The facility profile identified Aiming 4 Success LLC as the licensee and Aiming 4 Success #2 as the facility name at the same address. Based on the evidence gathered, interviews conducted, and records reviewed, the allegation, “Licensee does not have control of the property,” is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
Regarding the allegation, “Licensee does not ensure staff files are complete,” it is being alleged that the licensee did not ensure that staff personnel files contained required documentation, including records related to training and qualifications.
Interviews conducted revealed the following: S1 denied that staff personnel files were incomplete. S2 stated that the facility maintains the required staff personnel records. S2 assisted LPA with the review of the staff personnel files. S3 stated that facility staff work together to ensure that required personnel documents are maintained. Records review revealed the following: LPA reviewed six staff personnel files and documented the review on the (LIC 859). During the file review, the facility was located and provided the requested records for review. LPA verified that the six staff personnel files reviewed contained the required documentation. Based on the evidence gathered, interviews conducted, and records reviewed, the allegation, “Licensee does not ensure staff files are complete,” is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
An exit interview was conducted, and a copy of this Complaint Report was provided to the Facility Manager. |