complaint·May 12, 2022

Allegation: Staff locked resident out of the house Investigation Finding: UNSUBSTANTIATED Based on interviews and record reviews, staff (S1) stated that resident (R1) would go out on walks or run errands. LPA’s review of R1’s progress notes dated 11/05/2021 stated that staff (S4) saw R1 outside the facility door and reported that she was locked out at the other facility where she resides and could not get inside. Staff (S4) stated she accompanied R1 back to the facility, found the door unlocked , opened the door and let R1 inside the facility. S4 witnessed R1 talk to staff (S2). Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. Allegation: Staff is harassing resident Investigation Finding: UNSUBSTANTIATED Based on interviews and record reviews, staff (S3, S5) denied harassing resident (R1). Interviews conducted by LPAs with other residents confirm staff do not yell or harass them. Interviews with staff (S1, S3, S5) denied harassing R1. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. Allegation: Staff withholds residents’ mail Investigation Finding: UNSUBSTANTIATED During investigation, staff (S1) stated that all residents’ mails are distributed by staff daily. S1 stated there was only one occasion wherein resident’s (R1’s) letter was found to be inadvertently inserted in the weekly supermarket advertising magazines which was overlooked. Upon discovery, staff immediately handed the letter to R1. S1 stated there was no intention to withhold any mail from any resident and have instructed staff to go through all magazines to ensure it will not happen again. Interviews with other residents confirm they receive their mail from staff. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. Exit Interview conducted and a copy of this report provided via email. Allegation: Facility is in disrepair Investigation Finding: UNSUBSTANTIATED During investigation, LPA toured the facility with staff (S3, S5, S6) on 12/14/2021. LPA observed the facility clean, in good repair and odor free. LPA also observed common refrigerator in the kitchen had R1’s food containers with sticky notes stored inside along with other residents’ food. Administrator also showed LPA the new refrigerator purchased for R1 so she can store her food separate from the other residents. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. Exit Interview conducted and a copy of this report provided via email.