complaint·February 16, 2023

Licensing Program Analyst (LPA) Tuesday Cabiness met with Executive Director Jonathan Perles to conduct a complaint investigation, who was informed the reason of the visit. The following was determined: During today's visit, from 12pm to 330pm, LPA conducted a physical plant inspection, obtained resident records, and interviewed staff and residents. It was alleged that resident #1 (R1) inhaled and ingested hazardous chemicals. During the investigation, and information obtained, R1 fell at the facility, and the paramedics were contacted and assisted R1. R1 refused hospital services, in which R1 stayed at the facility, and was assisted by the paramedics to R1's wheelchair. R1 fell again, and allegedly observed to be under the influence of alcohol. R1 admitted to the paramedics and staff, that R1 inhaled Lysol. During interviews, it was confirmed to LPA, that R1 did ingest a hazardous chemical. This a health and safety risk to residents in care. Therefore, based on interviews, the allegation is Substantiated. Exit interview, appeal righs, and copy of report provided to ED.