The ALJ can only find that the investigation was adequate or, if it was not, propose that the Bureau be ordered to conduct a re-investigation. The ALJ cannot impose fines, make decisions about the quality of care received by a resident, or decide whether a resident got what was paid for.
After the hearing is completed, the ALJ prepares a Proposal for Decision (PFD) that includes the ALJ’s findings of fact, conclusions of law, and a recommendation. Exceptions to the PFD may be filed. The Department Director then enters the final decision at the administrative level. The Department Director’s decision may be appealed to circuit court.