complaint·August 5, 2021

INVESTIGATION REVEALED THE FOLLOWING: Allegation: Facility not adhering to Admissions Agreement. The complainant reports (R1)’s admissions agreement states they were paying to receive a private room and that administrator then moved someone into the room with (R1). LPA reviewed admissions agreement, which did not indicate whether (R1) was paying for a private room or a shared room. LPA found that admissions agreements do not indicate whether client has a single or double room. Per administrator, (R2) was put into the room with (R1) as there was no indication in the records that (R1) had a private room. Resident is on the ALW program(Assisted Living Waiver) and the program is paying for a shared room. Administrator informed LPA that due to Covid-19 precautions, residents had not been sharing rooms previously, which led (R1) to think they had a private room. When R1 informed Administrator they believed they had a private room, R1 and Administrator reviewed admissions agreement with ALW Social worker and (R1) was informed they had a shared room. LPA also interviewed residents (R1-R7) and found that 6 out of 7 were paying for the type of accommodation they currently have. Based on information gathered, the Department did not find sufficient evidence to support the allegation mentioned above. Allegation: Resident is not being allowed to smoke. The complainant reported (R1) is not being allowed to smoke. LPA spoke to administrator who stated all residents are allowed to smoke, they just have to do so in the facilities designated smoking area. LPA interviewed (R1-R7) about whether or not they were allowed to smoke in smoking area, all residents stated facility allows smoking in the smoking area. LPA interviewed (S1-S6) about whether or not residents were allowed to smoke, and all stated residents are allowed to smoke in designated smoking area. Based on information gathered, the Department did not find sufficient evidence to support the allegation mentioned above. The Department’s investigation consisted of an inspection of the facility, observation, analysis of (R-1)'s service records, incident report, and interviews conducted and found no evidence to support the allegations: "Facility not adhering to admissions agreement" and "Resident not being allowed to smoke" Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations, did or did not occur, therefore the allegations are Unsubstantiated . An exit interview was conducted with Susie Fuentes and a copy of the report was provided by email.