Administrator Served Without Valid License
Penalty
Summary
The facility failed to ensure that its administrator maintained an active and valid administrator's license, resulting in the administrator performing normal job duties for a period of 20 days without proper licensure. The administrator's license expired on 06/30/25 due to failure to complete the necessary paperwork and education for timely renewal. The administrator submitted the renewal application online on the expiration date but did not mail the required fee on time, and the renewal was further delayed due to insufficient continuing education units (CEUs). The facility did not confirm the renewal status and allowed the administrator to continue in the role during this period. The deficiency was identified when the facility's corporation became aware of the expired license on 07/21/25. During this time, the administrator continued to manage the facility, which had a census of 77, without the legally required credentials. The facility's governing body did not ensure compliance with its own policy, which mandates that the administrator must possess and maintain a current state license to operate the facility.