complaint·November 6, 2025

Allegation: Staff kicks resident’s personal belongings It is being alleged that staff kicked R1’s personal belongings. On 10/2/25, LPA Felisa Shirley interviewed S1 and she stated that while cleaning R1’s room, she moved an item out of the way with her foot. Interview with S1, revealed that staff used foot to move an item on the floor while cleaning, but nothing was kicked. On 11/6/25, LPA Shirley reviewed staffs sign-in sheets for annual trainings on residents rights. LPA interviewed staff 1 – staff 4 (S-1 – S-4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 5 out of 6 denied the allegation, 1 confirmed the allegation. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff kicks resident’s personal belongings,” therefore, the allegation is unsubstantiated. Allegation: Staff spits in resident’s food It is being alleged that staff has spit in residents food. On 11/6/25, LPA Shirley spoke with the Administrator regarding the staffs food safety protocols which includes the coverings of residents meals when residents are not present. On 10/2/25, LPA Shirley observed that the facility has an open kitchen in which an individual can observe the food preparation. LPA Shirley also observed the staff covering the residents meals with a plastic cover whenever the resident left the table. LPA Shirley interviewed staff 1 – staff 4 (S-1 – S-4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 5 out of 6 denied the allegation, 1 was not sure. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff spits in resident’s food,” therefore, the allegation is unsubstantiated. Con'd on 9099-C Allegation: Staff had sex in the facility within sight of resident It is being alleged that R1 witnessed S1 and S2 having sexual intercourse in this facility. On 10/2/25, LPA Shirley interviewed staff 1 – staff 4 (S-1 – S-4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 5 out of 6 denied the allegation and 1 confirmed the allegation. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff had sex in the facility within sight of resident,” therefore, the allegation is unsubstantiated. No deficiencies were cited for these allegations. An exit interview was conducted and a copy of this report was provided to the Assistant Administrator, Melanie Tallada.