Complaint·November 22, 2024

The investigation revealed the following: Allegation: Staff do not ensure the facility is free from pests It is being alleged that there is a mice, rats, and roach problem at the facility. On 11/20/24 between 11:30 am-12:15pm LPA conducted interviews with S1-S4, 4 of 4 staff interviewed denied the allegation above and reported bedrooms are sprayed by Terminex pest control when pest are reported by residents. 4 of 4 staff also reported rooms are being monitored for pest when cleaning is being conducted. On 11/20/24 between 9:30 am-11:30am LPA conducted interviews with residents R1-R7, 3 of 7 residents interviewed denied the allegation above, 1 of 7 residents refused interview, 3 of 7 residents interviewed confirmed the allegation and reported traps are placed and the bedroom gets sprayed when reported. On 11/22/24 at 9am LPA conducted interview with (S5),1 of 5 staff interviewed denied the allegation above and reported pest control visits the facility regularly to spray. On 11/22/24 between 9:15am- 11:30am LPA conducted interviews with R8-R10 regarding the allegation above, 3 of 3 residents interviewed denied the allegation above. On 11/20/24 while touring the inside and outside of the facility, LPA did not observed any pest activity. On 11/22/24 LPA conducted a a review of Terminex service reports and observed that the facility is being treated weekly. Allegation: Staff do not ensure the facility is clean and sanitary. It is being alleged that the facility is dirty and that the staff don't clean the rooms nor the bathrooms well. On 11/20/24 between 11:30 am-12:15pm LPA conducted interviews with S1-S4, 4 of 4 staff interviewed denied the allegation above and reported bedrooms along with the rest of the facility are cleaned daily and bedrooms are deep cleaned 1 time per week. Per 4 of 4 staff, some bedrooms require cleaning 2-3 times a week. On 11/20/24 between 9:30 am-11:30am LPA conducted interviews with residents R1-R7, 5 of 7 residents interviewed denied the allegation above, 1 of 7 residents refused interview, and 1 of 7 residents interviewed confirmed the allegation above, and stated the bedroom is cleaned once a week. On 11/22/24 at 9am LPA conducted interview with (S5),1 of 5 staff interviewed denied the allegation above and reported bedrooms and all common areas are cleaned daily and bedrooms are deep cleaned 1 time per week. On 11/22/24 between 9:15am- 11:30am LPA conducted interviews with R8-R10 regarding the allegation above, 3 of 3 residents interviewed denied the allegation above. On 11/21/24 while conducting tour of the facility LPA observed both floors being cleaned by the staff; trash was being removed and housekeepers were moping the floors. On 11/22/24 LPA reviewed the housekeeping schedule and observed that rooms are cleaned daily and deep cleaned once a week. Allegation: Staff do not ensure resident has hot water It is being alleged that R1's bathroom sink has no hot water and get's lukewarm at best. On 11/20/24 between 11:30am-12:15pm LPA conducted interviews with S1-S4, 4 of 4 staff interviewed denied the allegation above. 1 of 4 staff interviewed stated residents have asked for the water temperature to be higher however it was explained that the facility has to be incompliance with water temperatures and hotter water temperatures may be harmful to other residents. On 11/20/24 between 9:30am-11:30am LPA conducted interviews with residents R1-R7, 5 of 7 residents denied the allegation above, 1 of 7 residents refused the interview, 1 of 7 residents confirmed the allegation and reported the water temperature was turned down, the water temperature is too low and not to the residents liking. On 11/20/24 LPA checked the water temperatures of 4 random rooms and the following was observed: room # 135 water temp 111.7 F, room # 137 water temp 113.6F, room # 293 water temp is 114.2 and room 227 water temp is 116.2. On 11/22/24 at 9am LPA conducted interview with S5, 1 of 5 staff interviewed denied the allegation above. On 11/22/24 between 9:15am- 11:30am LPA conducted interviews with R8-R10 regarding the allegation above, 3 of 3 residents interviewed denied the allegation above. On 11/22/24 LPA conducted review of the water temperature log for the months of January 2024 -November 2024, LPA observed that water temperatures are checked regularly to ensure compliance. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted with Executive Director Suzette Johnson, and a copy of this report was provided.