Complaint·May 30, 2023

(Continued from 9099) information is not shared with them. LPA obtained documentation that all staff had undergone background checks and associated to facility before staff began working at facility. Based on LPA interviews and file review, the investigation revealed: 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 UNSUBSTANTIATED. (CONTINUED FROM 9099) Facility last emergency drill was on 04/01/2023 and did not include S6 who didn't' start work until 05/22/2023 and there was no documentation that S6 had undergone Emergency Disaster training and Emergency Disaster Plan does not include S6 who is the only overnight staff at this time. This poses a health and safety hazard to the residents in care. Based on interviews, file review and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Civil penalties assessed. Repeat violation in last twelve months,