complaint·April 15, 2024

Allegation(s): Staff did not properly safeguard the facility grounds. Staff are not preventing an unauthorized individual access to the facility. The investigation revealed the following: Regarding the allegation "Staff did not properly safeguard the facility grounds and Staff are not preventing an unauthorized individual access to the facility,” it is being alleged that a former resident snuck onto the property and stole a resident’s clothes. Interviews conducted indicate the following: the (2) facility entry doors and parking lot gate are secured and monitored by video surveillance and the facility utilizes a Call Light system . LPA observed an alarm device on the main entry gate and the pathways lead to the office and dining hall. Interviews indicated that the alarm device comes on once the first floor office staff departs around 7:00 PM. LPA observed video surveillance cameras monitoring the dining hall and office entryway. LPA observed video surveillance desk monitors in the main office on the first floor and in the Medtech room on the second floor. Interviews indicated that the Receptionist and night staff (Medtechs and Caregivers) utilize the Call Light system that alerts staff of opened doors. The second entry gate is also monitored by cameras. Based on the interviews and observations, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated. Allegation(s): Staff did not properly safeguard a resident's personal belongings. Staff are not preventing an unauthorized individual access to the facility. The investigation revealed the following: Regarding the allegations, "Staff did not properly safeguard a resident's personal belongings and Staff are not preventing an unauthorized individual access to the facility,” it is being alleged that a former resident been given keys to the facility to access other resident's rooms. Interviews conducted indicate the following: the former resident moved away from the facility six month ago, keys are only issued at the time of move-in and reissued when lost, residents can lock their doors, and the rooms contain lockboxes to safeguard additional items. During the facility tour, LPA observed some locked and unlocked bedroom doors on the second floor and lockboxes in the rooms. Continue to LIC9099-C Record review indicates that the facility tracks lost keys and inventories a resident’s personal property. R1 stated that R1 declined to have R1’s personal items inventoried at admissions. Based on the interviews, observations, and record reviews, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, as a result, the allegation is Unsubstantiated.