Complaint·November 7, 2023

See continued LIC9099-C page 2 Allegation #1: Staff are not keeping medications in a safe and locked location. LPA Bunker conducted interviews with staff 1-3 (S1-S3), residents 1-3 (R1-R3), and witness 1 (W1) regarding the allegation that, on October 31, 2023, resident medications were stored in a locked cabinet in the hallway, and medication is consistently secured. S1-S3, R1-R3, and W1 unanimously affirmed that staff diligently safeguard residents' medications at all times, maintaining them in a secure, locked place. In summary, all parties interviewed denied the allegation. Allegation #2: Staff are not keeping dangerous items in a safe and locked location. LPA Bunker interviewed staff 1-3 (S1-S3), residents 1-3 (R1-R3), and witness 1 (W1) concerning the alleged allegation of dangerous items not being stored in a secure, locked location. According to their statements, knives in the facility are stored in a locked cabinet in the kitchen, ensuring that they are inaccessible to residents in care. S1-S3, R1-R3, and W1 consistently denied the allegation. The investigation consisted of the following: Interviews with staff 1-3 (S1-S3), residents 1-3 (R1-R3), and W1, who all attested that medications are consistently stored in a safe, locked location. Staff confirmed that they unlocked the medication cabinet to dispense medication to residents, promptly locking it afterward. Medication is never left unattended in the kitchen at eye level. S1-S3 emphasized that medications are appropriately labeled and maintained in compliance with regulations. Medications are securely locked and inaccessible to residents. The same rigorous safety measures apply to dangerous items, which are kept in a locked kitchen cabinet, with kitchen knives only taken out for cooking and food preparation. S1-S3, R1-R3, and W1 affirmed that residents do not have access to the kitchen area, ensuring their safety. Staff takes great care to meet residents' needs, and S1-S3 emphasized their training and competence in delivering the necessary services. They are committed to preventing residents from harm, injury, and danger. R1-R3 expressed their satisfaction with the staff's kindness and quality of care, stating they are content living at the facility. S1-S3, R1-R3, and W1 collectively denied the allegations. See continued LIC9099-C page 3 See continued LIC9099-C page 3 Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099 and LIC9099-Cs provided to the facility staff. There were no deficiencies cited. An exit interview was conducted.