Complaint·November 5, 2025

At approximately 01:45 pm, LPA requested copies of resident and staff rosters, liability insurance and Administrator Certificate. LPA also requested copies any documents relevant to the investigation. At 02:00 pm, LPA conducted a physical plant tour to ensure the health and safety of the residents are protected. At approximately 2:30 pm LPA conducted a file review of documents provided. Between 01:30 pm and 03:30 pm, LPA conducted interviews with one (1) staff, and three (3) out of three (3) residents. Allegation: Staff yells at resident. It is reported that staff yells at resident. Regarding this allegation it is reported that resident #1 (R1) is constantly yelled at by a staff member. LPA interviewed R1 and R1 stated that the current staff member is not the one that has yelled at R1. R1 revealed that a different staff member that is no longer working at the facility was the one that had previously yelled at R1. Interview with Resident #2 (R2) revealed that staff do not yell at them. Interview with Resident #3 (R3) revealed that staff sometimes yell but R3 also stated that they are hard of hearing and that’s why staff yell. Interview with Staff #1 (S1) present at the facility revealed that they have not witnessed any other staff yell at the residents, but did acknowledge that there has been another staff member in their place when S1 took a day off, therefore they did not witness any yelling. S1 was not able to provide any information regarding the staff member in question as there is no facility file on them. LPA contacted Administrator over the phone and inquired about additional staff at the facility and Administrator revealed Staff #2 (S2)’s identity. LPA was not able to locate S2 on the Guardian website and explained that all staff need to be fingerprint cleared and associated to the facility prior to working and providing direct care and supervision to residents. This will be addressed in a case management. Based on interviews, observations and file reviews this allegation is deemed substantiated. Citation issued. Exit interview conducted and a copy of the report provided to designee.