Administrator Worked Without Current NHA License or Required Supervision
Penalty
Summary
The facility failed to ensure that the administrator (ADM) maintained a current and active Nursing Home Administrator (NHA) license while serving in the role without supervision. Review of the ADM's NHA license revealed that it had expired, and although the ADM wrote a check for the renewal application, he continued to work as the facility's administrator after the license expiration. During the period of observation, the ADM confirmed that his license was expired and there was no evidence of supervision by a licensed NHA during this time. Facility job descriptions and state Health and Safety Code requirements specify that an administrator must possess a current, unencumbered NHA license and may not act in the capacity of administrator after license expiration unless supervised by a licensed NHA for no more than 10 days, with at least 8 hours per week of direct onsite supervision. The ADM exceeded this 10-day period without the required supervision, in violation of state licensure requirements.