complaint·November 4, 2025

Five (5) of five (5) staff interviewed stated repairs are reported by the staff during their rounds and reported to the administrator (S1), S1 notifies the corporate office to authorize vendor repairs to the facility. According to S1 all large repairs are done through hired vendors, small repairs are handled by the janitorial/maintenance staff. Residents are encouraged to report all repairs to the front office. Small repairs are made immediately by the janitorial/maintenance staff and large repairs are done by authorized vendors within 24 hours depending upon the issue. Seven (7) out of eight (8) residents interviewed stated they report broken items to the staff and repairs are made. Five (5) of eight (8) residents stated they report necessary repairs to the front office and repairs are made within 24 hours for minor repairs. Observations made by LPA to rooms during tour with S1 and did not observe broken window nor missing floor tiles in rooms #6- #10. LPA Vaid did not observe missing tiles, only mismatching repaired floor tiles. LPA Vaid toured R1’s room, bathroom does not have a window, there is only one window in the room and the window is not in disrepair. Observation of floor tiles are not in disrepair. Based on interviews conducted and observations made. 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, therefore the allegation is unsubstantiated. Exit interview was conducted and report was provided to Administrator- Ana Giron.