complaint·November 1, 2023

At 8:30 a.m. on 11/01/2023, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced subsequent complaint visit. LPA met with staff and later the Executive Director and disclosed the reason for the visit. Regarding the allegation “Staff do not ensure residents receive personal mail in a timely manner”, it was alleged Resident #1 (R1) did not receive mail the day it was delivered. To investigate the allegation, LPA interviewed six (06) out of fifty three (53) residents and staff between 8:45 a.m. and 2:30 p.m. today. Staff interviews revealed the receptionist sorts the mail on a daily basis and hands the mail to residents or puts the mail in resident mailboxes. Resident interviews revealed no residents experienced issues with receiving mail. Based on interviews, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety hazards were noted during the time of this visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.