Inspection visit

complaintJanuary 12, 2023

LEO'S ASSISTED LIVING IILicense 197610054

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

At 11:10 a.m. on 01/12/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with Administrator and disclosed the reason for the visit. Regarding the allegation above, it was alleged Resident #1 (R1) was physically abused by staff at the facility. LPA interviewed a resident at 11:12 a.m., staff at 11:45 a.m., and family at 12:15 p.m. on 01/12/2023. LPA conducted a record review at 11:55 a.m. on 01/12/2023 and a a file review at 8:00 a.m. on 01/12/2023. From interviews, Resident #2 (R2) reported no abuse had occurred to them. Staff #1 (S1) stated that R1 hit them while S1 was providing assistance. S1 blocked further hits with their hand, and Staff #2 (S2) witnessed the interaction. R1’s family member stated R1 may have dreamt the encounter and noted R1’s tough attitude. From file review, another unsubstantiated allegation of abuse towards R1 came from a different licensed facility on 12/29/2022 as part of complaint investigation #31-AS-20221229154813. Based on record review, file review, and interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided. Appeal rights discussed.

Citations

6 citations recorded^*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

87411(d)(3)Type B
87411 Personnel Requirements - General(d) All personnel shall... have related experience in the job assigned to them. (3) Skill and knowledge required to provide necessary resident care... including the ability to communicate with residents.This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 2 out of 2 employees which poses a potential Health, Safety, or Personal Rights risk to persons in care.
87464(f)(3)Type B
87464 Basic Services (f) Basic services shall at a minimum include: (3) Three nutritionally well-balanced meals and snacks made available daily, including low salt or other modified dietsThis requirement was not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 3 out of 5 residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.
87506(c)(1)Type B
87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent. This requirement is not met as evidenced by: Based on observations and interviews, the licensee did not comply with the section cited above in 1 out of 5 residents which poses a potential Health, Safety, or Personal Rights risk to persons in care.
87307(a)(3)(A)Type B
87307 Personal Accommodations and Services (a)...The following provisions shall apply: (3) ...the licensee shall assure: (A) A bed... shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding.This requirement is not met as evidenced by: Based on interviews and observations, the licensee did not comply with the section cited above in 3 out of 5 residents which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.
87411(c)Type B
87411 Personnel Requirements - General(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual trainingThis requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above in 2 out of 2 employees which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.
87555(b)(5)Type B
87555 General Food Service Requirements (b) The following food service requirements shall apply: (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural... backgrounds and food habits of residents.This requirement was not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above in 3 out of 5 residents which posed a potential risk to the Health, Safety, or Personal Rights to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 12, 2023 inspection of LEO'S ASSISTED LIVING II?

This was a complaint inspection of LEO'S ASSISTED LIVING II on January 12, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to LEO'S ASSISTED LIVING II on January 12, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

SourceView on CCLD View original report

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Data from CCLD public records. Last updated May 25, 2026. If you believe any information is inaccurate, report it here.

complaint·January 12, 2023