Complaint·September 29, 2025

LPA attempted to interview Resident #4 (R4) but they were sleeping. LPA attempted to interview Resident #5 (R5) but they did not respond to LPA's questions. From approximately 2:25 p.m. to 2:40 p.m., LPA conducted interviews with two (2) residents, Resident #1 (R1) and Resident #2 (R2). LPA documented observations of R1's bedroom. On 09/09/2025, while conducting the unannounced annual required visit, at approximately 10:25 AM, LPA interviewed R4. On todays unannounced subsequent visit to continue the investigation on the allegations, LPA Rios while conducting a tour at approximately 1:10 p.m., interviewed Resident #3 (R3). From 2:17 to 2:45 p.m., LPA interviewed Staff #1(S1) and Staff #3 (S3) by telephone. Allegation: Staff are not safeguarding resident's personal belongings. It was alleged that 24 bananas, purchased by R1's family member, were gone in three days. To investigate the allegation, LPA Rios interviewed four (4) out of five (5) residents that resided in the home, the administrator, and three (3) staff members. Interview with R1 confirmed they had received several bunches of bananas but they were gone in a short amount of time. R1 was not able to recall how long after receiving the bananas they were gone or how often they ate bananas. The administrator and three (03) staff members revealed that R1 ate bananas with every meal sometimes two at a time with meals. Staff and three (3) resident out of the four (04) residents interviewed corroborate they did not eat R1's bananas and did not witness anyone eating R1's bananas. According to S2 they write resident's names on food items residents personally bring for themselves to consume. During physical plant tour on 02/25/2025 and on subsequent visits LPA observed resident's names on food items. Based on interviews, and observation there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (Continue to LIC9099-C) Page 2 of 3 (Continued from LIC9099-C) Allegation: Staff are not meeting resident's toileting needs. It is alleged, R1 uses a portable urinal then dumps it into a bucket next to their bed because staff will not respond to call button for assistance. During the investigation, LPA Rios interviewed four (4) out of five (5) residents that resided in the home, the administrator, and three (3) staff members. LPA's interview with R1 revealed they wear incontinent undergarments because they do not like to sit on a toilet. According to R1 the sitting position is not ideal for emptying their bladder or bowl movements. R1 states they have no issues regarding their portable urinal and bucket. Stating to LPA that staff empty the bucket several times a day with no issues. According to R1 they prefer to "dump the urine" in the "commode bucket" and have staff empty the bucket. Interview with three (3) staff and the administrator corroborate R1's preference. According to the administrator and staff they have encouraged R1 to use the toilet or commode but R1 refuses. LPA's interview with four (4) out of five (5) residents corroborate no issues or concerns regarding toileting needs. Based on interviews, and observation there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided. Appeal rights provided. Page 3 of 3