Complaint·March 27, 2025

eviction of resident #1. Allegation #1: Staff do not keep a residents room free from mold and chemicals. It is alleged that a resident lives in a room with mold and chemicals. On 3/27/25 at around 11:45am LPA interviewed the Administrator regarding the allegation, Administrator denied the allegation and stated there is no mold or chemicals in any of the rooms. On 3/27/25 between 12:00pm-1:30pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. On 3/27/25, between 1:30 pm-2:30pm LPA interviewed 5 staff regarding the allegation. 5 of 5 staff interviewed denied the allegation. All interviewed including staff and residents were consistent in their statements that they have not seen nor smelled mold or chemicals in their rooms. On 3/27/25 during the visit LPA toured the facility and observed 10 rooms and did not observe any mold or chemicals . Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED. Allegation #2: Staff do not properly maintain a residents room. It is alleged that maintenance in residents room is not properly handled . On 3/27/25 at betwenn 12:00pm - 1:30 pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. On 3/27/25, between 1:30pm-2:30pm LPA interviewed 5 staff regarding the allegation. 5 of 5 staff interviewed denied the allegation. All interviewed including staff and residents were consistent in their statements that residents rooms are cleaned daily, which consists of: taking out trash, vacuum floors, making bed and cleaning bathroom .Deep cleaning is once a week, which consists of: Everything in daily cleaning plus: changing lining, cleaning windows and mirrors ,mopping floors and dusting .On 3/27/25 during the visit LPA toured the facility and observed 10 rooms and found the rooms to be cleaned and in order. Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED Allegation #3 :Staff verbally abused a resident while in care It is alleged that resident is being verbally abused by the entire staff including caregivers and managers. On 3/27/25 between 12:00pm - 1:30 pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. Stating they have not witnessed any staff verbally abusing any resident. On 3/27/25, between 1:30 pm-2:30pm LPA interviewed 5 staff regarding the allegation. 5 of 5 staff interviewed denied the allegation and state they have not witnessed any staff being verbally abusive to any resident Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED Allegation #4: Staff do not seek emergency assistance for the residents It is alleged that resident do not feel safe as the facility refuses to call 911 for anybody. On 3/27/25 at between 12:00pm - 1:30 pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. On 3/27/25, between 1:30 pm -2:30 pm LPA interviewed 5 staff regarding the allegation. 5 of 5 staff interviewed denied the allegation .All interviewed including staff and residents were consistent in their statements that if emergency assistance is needed for residents the staff call immediately. On 3/27/25 during the visit LPA reviewed SIRs for the last 3 months ( January 2025 - March 2025) and found the Emergency Assistance was called (4) times. Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED Allegation #5: Staff abused the residents while in care It is alleged that it was witnessed of a caregiver abusing 2 patients. On 3/27/25 between 12:00pm - 1:30 pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. Stating they have not witnessed any staff abusing any residents. On 3/27/25, between 1:30 pm -2:30 pm LPA interviewed 5 staff regarding the allegation. 5 of 5 staff interviewed denied the allegation and state they have not witnessed any staff being abusive to any resident. Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED Allegation #6: Staff did not safeguard a residents personal belongings It is alleged that some of residents possessions were removed from their room. On 3/27/25 between 12:00pm - 1:30 pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. Stating they have not had any of their personal belongings missing from their rooms. On 3/27/25, between 1:30 pm -2:30 pm LPA interviewed 5 staff regarding the allegation. 5 of 5 staff interviewed denied the allegation and state they have not heard of anything missing from a residents room Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED Allegation #7: Staff unlawfully evicted a resident It is alleged that a resident was illegally evicted and possessions removed from their room. On 3/27/25 between 12:00pm - 1:30 pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. Stating they have no knowledge of any residents being evicted. On 3/27/25, between 1:30 pm -2:30 pm LPA interviewed 5 staff regarding the allegation. 4 of 5 staff interviewed denied the allegation and state they had no knowledge of a resident being unlawfully evicted. The Administrator informed LPA Day that resident #1 was evicted per court order and not unlawfully. LPA Day obtained a copy of the court order and found it to be proper and within Title 22 guidelines. Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED Allegation #8: Staff refused to provide requested documentation to requesting agencies. It is alleged that staff refuse to provide documentation needed to social security and other agencies. On 3/27/25 between 12:00pm - 1:30 pm LPA Day interviewed 6 clients and 6 of the 6 clients denied the allegation. Stating they have not encountered the staff not providing documentation to any of the Agencies that would request anything of them pertaining to any resident.. On 3/27/25, between 1:30 pm -2:30 pm LPA interviewed 5 staff regarding the allegation. 5 of 5 staff interviewed denied the allegation and state they have not witnessed any staff not providing requested documentation to any agency upon their request. Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED