complaint·December 1, 2021

This is an amended copy of the report previously issued on 12/01/2021 and 01/09/2023. After review of this complaint, it was determined full names of interviewees were used in lieu of confidential identifiers. The findings for this complaint remain the same. room. LPA observed the door to the room was shut. Upon entering the break room, , LPA observed two staff members eating lunch The room is spacious allowing for social distancing when needed. S2 escorted LPA to the window where outdoor seating is available for staff. S2 stated staff also use the outdoor area for breaks. At 12:00 pm, LPA interviewed S3 and concluded the interview at 12:25 pm. LPA Spaeth interviewed S1 from 12:35 pm until 12:55 pm and interviewed staff member S4 from 12:55 pm until 1:05 pm. LPA observed a Facebook posting at 1:15 pm which stated the facility would have held a car and craft show at the facility on February 6, 2021. However, the show was cancelled. Two staff members confirmed the car and craft show did not occur. LPA observed the testing records which indicated the tests were received within two to four days. During interviews with residents, LPA conducted interviews from 10:15am to 4:45pm. No resident confirmed the allegation to be true. Residents observed staff always wearing masks and state staff have been responsible and have been wearing masks without any incident. Based on LPA’s observations and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation(s) 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 was conducted, and a copy of the report was emailed to the facility.