Complaint·November 2, 2024

On 11/12/24, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to deliver findings on the above allegations. LPA was greeted by caregiver, stated the purpose of the visit and was allowed entry into the facility. LPA called Licensee/Administrator to discuss findings over the phone however, Licensee/ Administrator was unavailable. During the investigation, LPA conducted a facility tour, reviewed records and conducted interviews. Based on the information received, medications were observed to be stored and documented according to physician's orders. A 7-day supply of non perishable's and a 2-day supply of perishables were observed to be in good quality and quantity. Manual locks were not observed being used and were removed on 08/06/24. Although the allegations may have happened, there is not a preponderance of evidence to prove that the alleged violations occurred, therefore the allegations are Unsubstantiated. No deficiencies cited. An exit interview was conducted with Licensee/Administrator via telephone. Licensee/Administrator gave staff permission to sign report and a report will be sent via email by next business day, with a read receipt as proof of delivery.