Complaint·February 7, 2026

On 02/07/2025, Licensing Program Analyst (LPA) M. Medina conducted a subsequent unannounced complaint visit to conduct interviews and deliver findings. LPA introduced self, stated purpose of visit, and allowed entrance by direct care staff. Administrator contacted by telephone and arrived a short time later to conduct visit with LPA. During the course of the investigation, LPA toured the facility, conducted interviews, and reviewed documentation. On initial visit conducted on 1/08/2026, LPA observed both facility thermostats within facility to be 72 degrees F and the thermometer in R1's bedroom was 71 degrees F. During the subsequent visit on 2/07/2026, LPA observed facility thermostats to be 72 degrees F and 74 degrees F, the thermometer in R1's bedroom was 74 degrees F. The department has insufficient information regarding the above allegations. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or disprove that the allegation occurred therefore the allegation is UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted and a copy provided for facility records.