Complaint·November 7, 2025

On 1/4/2024 at 10:00AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with staff Irieanna Marshall. On the allegation: Staff did not ensure that the facility is kept clean: In interviews it was stated that R2 was sick about a week prior, but S2 explained that there was minimal mess in the bathroom after R2 used it. S2 stated that R2 was assisted back to their room before staff cleaned, but the bathroom was cleaned right after. Witness W1 confirmed that the bathroom which is also used by guests has not been in disarray. S1 and S2 both said that towels are cleaned throughout the week as needed, and the bathroom is deep cleaned weekly. S1 stated that there was a resent altercation with R1, where R1 started yelling at the staff for being bad at their jobs and was witnessed by W1 and W2. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.