complaint·August 11, 2022

Investigation revealed: Allegation: Facility did not adhere to Admission Agreement. During the course of the investigation, LPA was unable to find any witnesses or documentation supporting the allegation above. There is no evidence that supports the facility did not adhere to Admission Agreement. Residents (R1-R9) stated they have not had any issues with the facility adhering to their Admission Agreement. Associate Executive Director stated the facility is month to month for rent and requires a 30-day written notice from a resident to get reimbursement of the deposit. LPA observed the Admission Agreement signed and dated with specified date agreed upon for “Schedule of Services and Rates to commence”. LPA reviewed previous complaint 11-AS-2022113153405 which was a similar allegation stated in a different verbiage and LPA investigated found the complaint to be “unsubstantiated”. Based on LPA’s interviews conducted and records reviews, the preponderance of evidence standard has not been met. 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 Allegation: Resident’s hygiene needs were not met. During the course of the investigation, LPA was unable to find any witnesses or documentation supporting the allegation above. There is no evidence that resident’s hygiene needs were not meet. LPA interviewed residents (R1-R9) who stated no issues with ADLs being met at the facility. Residents (R1-R9) stated they are given a comfortable living environment at the facility. Resident (R2, R7-R9) who get help with showers have no issues with the shower schedule and staff assisting. Staff (S2-S4) stated residents ADLs are being met on a daily basis. Staff (S2-S4) stated they assist residents with showers according to the scheduled services. LPA obtained a copy of a Personal Service Plan (PSP) which includes personalized assisted living based on an individual preferences. This PSP is itemized and includes but is not limited to assistance with medications, showering or bathing, bathroom, escort and mobility and dressing and grooming. Based on LPA’s interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated Allegation: Staff did not meet resident’s needs while in care. During the course of the investigation, LPA was unable to find any witnesses or documentation supporting the allegation above. There is no evidence that staff did not meet resident’s needs while in care. LPA interviewed residents (R1-R9) who stated no issues with ADLs being met at the facility. Residents (R1-R9) stated they are given a comfortable living environment at the facility. Resident (R2, R7-R9) who get help with showers have no issues with the shower schedule and staff assisting. Staff (S2-S4) stated residents ADLs are being met on a daily basis. LPA reviewed and did observe any incident reports regarding issues with resident’s needs while in care. Based on LPA’s interviews conducted and records reviews, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated There were no deficiencies found at the time of the visit. An exit interview was conducted with Joshua Castillo and a hard copy was provided.