complaint·March 27, 2025

Staff does not ensure medications are properly stored. It was alleged that the facility left the keys in the medicine cabinet and unlocked medication in the refrigerator. On 01/06/2025 a credible witness conducted a visit to this facility and observed that the keys are left in the medicine cabinet and are not locked/secured. LPA conducted an interview with the Administrator who denied the allegation. Furthermore, during today’s visit LPA observed that the staff medications are unlocked in one of the kitchen cabinets and were accessible to residents in care. Additionally, LPA also observed that the key for the medication cabinet is visible and accessible in one of the kitchen drawers to residents in care. Based on credible witness and LPA’s observation during today’s visit this allegation is Substantiated. Staff does not ensure food is properly stored. It was alleged that the facility staff left food unsealed and open. On 01/06/2025 a credible witness conducted a visit to this facility and observed that food containers were left open. Additionally, on 03/10/2025, a credible witness conducted another visit and observed ice cream tub without a proper lid and a peanut butter jar open. LPA conducted an interview with the Administrator who confirmed that a peanut butter jar was open and unscrewed. Furthermore, during today’s visit LPA observed an ice cream tub open without a proper lid in the freezer. Based on credible witness, LPA’s observations during today’s visit, and the Administrator confirmation this allegation is Substantiated. Staff does not ensure expired/rotten food are disposed. It was alleged that the facility has expired/rotten food. On 01/06/2025 a credible witness conducted a visit to this facility and observed moldy tomatoes in the fridge. LPA conducted an interview with the Administrator who denied the allegation. However, during today’s visit LPA conducted a physical plant tour and observed wrinkled/aged chili peppers and expired milk with expiration date of 03/20/2025 in the refrigerator. Based on credible witness and LPA’s observations this allegation is Substantiated. Continue on LIC 9099C Staff does not ensure hazardous chemicals are properly stored. It was alleged that the facility left cleaning supplies in the cabinet under the sink unlocked and accessible to residents in care. On 01/06/2025, a credible witness conducted a visit to the facility and observed cleaning supplies unsecured and accessible. LPA conducted an interview with the Administrator who confirmed that the facility staff left laundry detergents unlocked and accessible to residents in care. Furthermore, during today’s visit, LPA conducted a physical plant tour of the facility and observed cleaning supplies unlocked and accessible under the bathroom sink to residents in care. Therefore, based on credible witness observation, Administrator interview, and LPA’s observation this allegation is Substantiated. Staff does not ensure dangerous items are properly stored. It was alleged that the facility staff left a knife on the kitchen counter and a lighter in an unsecured drawer. On 03/10/2025 a credible witness conducted a visit to this facility and observed unlocked knife and a lighter. LPA conducted an interview with the Administrator who denied the allegation. However, during today’s visit, LPA conducted a physical plant tour and observed a lighter in an unsecured kitchen drawer. Furthermore, LPA did not observe any knives or other sharp objects unlocked. Based on the credible witness and LPA’s observations this allegation is Substantiated. Deficiencies issued. Appeal rights discussed and given. Exit interview conducted. Copy of this report signed and delivered.