complaint·September 24, 2025

Review of the facility’s house rules revealed “Residents being picked up… [should] wait in the lobby”. Interview with Staff #1 (S1) at 11:00 a.m. today revealed R1 goes to their day program every day and waits for their rideshare without issue. R1 was yelling yesterday while waiting. S1 attended to R1 and noted everything was okay. S1 offered R1 water and shade, and R1 refused both. Interview with Staff #2 (S2) at 11:10 a.m. today confirmed R1 frequently waits for their rideshare without issues. LPA observed about five (05) residents sitting outside in the shade today at 12:00 p.m. LPA observed sufficient shaded area for residents. Interview with the receptionist, Staff #3 (S3) at approximately 1:00 p.m. today revealed R1 yells due to being impatient, but S3 has not heard R1 yelling out for help. Interview with R1 at 2:45 p.m. today revealed they receive adequate care from staff. R1 sits in the sun to ensure they do not miss their ride. Based on observations, interviews, and record review, staff provide adequate care and supervision to R1 while respecting their personal right to sit where they want. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not ensure resident was cleaned properly " it was alleged R1 had feces on their shoe and the handle of their walker. Interviews with S1 and S2 revealed they have never observed R1 to have feces on them or appearing disheveled. Interviews with S3 and Staff #4 (S4) at approximately 1:15 p.m. today revealed R1 is very particular and often asks staff how they look before leaving. S3 and S4 have also never seen R1 with feces on them. Interview with R1 revealed staff provide adequate assistance with bathing, toileting, and hygiene. Record review of R1’s file revealed staff are to provide reminders and standby assistance for R1’s grooming, dressing, and incontinence needs. LPA observed R1 at 2:45 p.m. today to be in good health and hygienic. Based on observations, interviews, and record review, there is insufficient information to determine if R1 was cleaned improperly. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns were observed during today’s visit. Exit interview conducted. Copy of report provided.