complaint·August 16, 2023

Licensing Program Analyst (LPA) Zabel Chochian conducted a complaint visit today regarding above allegations. Upon arrival LPA met with Administrator Marhlyn Sapugay and reason for visit was discussed. LPA and Administrator conducted a physical plant tour approximately 10:45am. LPA checked the front and side doors to the building. Facility is approved for delayed egress. Front door observed to be unlocked during todays visit. Interviews conducted with staff and residents between 12pm-3:30pm revealed that the residents are able to exit and enter the facility anytime. Regarding allegation "facility is understaffed", staff schedule for the week was reviewed and it was observed that there are three (3) caregivers and two (2) medtechs on each shift, including two (2) housekeeping staff. Census of facility at this time is 45. Staff and residents interviewed revealed that the facility staffing at this time is sufficient. Based on the evidence gathered, the allegation of Residents are locked inside the facility and facility is understaffed" is deemed unsubstantiated at this time. Exit interview conducted and a copy of report issued.