complaint·June 12, 2025

Regarding the allegation: Staff allowed uncleared adults to be present in the facility. It was alleged that S1 had allowed adults into the facility whom had not obtained Criminal Record Clearance. To investigate the allegation, LPA interviewed eight (8) staff and four (4) residents. Interview will all eight (8) staff members revealed that they have never brought or witnessed any other staff bring any uncleared adults into the facility. LPA’s interview with R2 confirmed that they have not witnessed any staff members bring any adult visitors into the facility. LPA attempted to interview R1, R3 and R4 but due to their inability to communicate due to various medical reasons, LPA terminated the interviews. LPA’s record review of the facility’s staff roster in comparison to both: Guardian Background Check System and Licensing Information System (LIS) databases, all eight (8) staff members were shown to have approved background clearance for the facility. During LPA’s physical tour of the facility, LPA did not witness any other adults other than the approved staff and residents within the facility. Based on LPA’s interviews, record review and observations there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff smokes marijuana at the facility while on shift. It was alleged that S1 has been smoking marijuana at the facility. To investigate the allegation, LPA interviewed eight (8) staff and one (1) resident. Interview with all eight (8) staff members revealed that they have not smoked marijuana in the facility nor have witnessed any other staff members do so. Interview with R2 confirmed that they have not witnessed any staff members smoking marijuana in the facility. During LPA’s physical tour, LPA did not smell any odor of marijuana or witness any staff members under the influence of marijuana or any illicit drugs. Based on LPA’s interviews and observations there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not treat resident with dignity and respect. It was alleged that S1 has yelled and neglected R1. To investigate the allegation, LPA interviewed eight (8) staff and one (1) resident. Interview with all eight (8) staff revealed that they have never witnessed S1 yell or mistreat any residents. Interview with S3 revealed that S1 understands R1 the best and R1 enjoys being around them. LPA’s interview with R2 confirmed that they have not witnessed R1 or any others being mistreated by staff. In addition, LPA’s observation of R1’s interaction with S1 did not show any signs of distress or discomfort surrounding S1’s presence at the facility. (Continue to LIC 9099-C) Based on LPA’s interviews and observation there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not ensure resident’s room were kept clean. It was alleged that resident’s bedrooms are being left with soiled diapers and trash on the floor. To investigate the allegation, LPA interviewed eight (8) staff and one (1) resident. Interview with all eight (8) staff confirmed that resident’s rooms are cleaned daily. Interview with R2 confirmed that staff clean the bedrooms daily. During LPA’s physical tour, LPA observed all resident’s room to be neat, clean and organized. LPA observed resident’s bedroom floors to be free of any clutter and/or trash. Based on LPA’s interviews and observations there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Regarding the allegation: Staff did not provide proper food service to residents in care. It was alleged that S1 does not prepare dinner for the residents at the allocated time and/or not at all. To investigate the allegation, LPA interviewed eight (8) staff and one (1) resident. Interview with all eight (8) staff revealed that all residents eat three (3) meals a day including snacks. Interviews with all eight (8) staff confirmed that dinner is served after 4:00 PM. Interview with S6 revealed that if residents, “…want their dinner earlier then they will prepare it for them”. Interview with S4 revealed that they have witnessed, “…leftovers from the previous night’s dinner” inside of the refrigerator confirming that dinner was prepared. LPA’s review of the facility menu showcased a variety of meal options for the entire week. Interview with S3 confirmed that residents, “…can always request something different from the menu”. During LPA’s physical tour, LPA observed a variety of perishable and nonperishable food readily available for residents. In addition, during the day of the visit, LPA observed S1 prepping dinner for the residents. Furthermore, based on LPA’s interviews, record review and observations there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. In addition, LPA’s review of the facility’s history revealed similar allegations pertaining to S1. Such allegations have included but not limited to: use of illicit drugs, allowed entrance of uncleared adults, treatment of residents, care and supervision of residents and failing to provide meals to residents all ranging from the year 2022 to present. The allegations were investigated and deemed unsubstantiated. No immediate health and safety issues observed during the day of the visit. Exit interview conducted and a copy of this report was provided to the Administrator.