Complaint·January 21, 2026

Investigation revealed the following: Allegation: Staff did not keep the emergency exits free of obstructions. It is being alleged that the emergency exit in the facility’s kitchen office area is always partially blocked, and that kitchen staff do not wear hairnets while working in the kitchen, creating an ongoing safety hazard and restricting clear egress during an emergency. On 01/21/2026, LPA Troy Watson interviewed Administrator Ashley Shire (A1). During the interview conducted on 01/21/2026, Administrator Ashley shire (A1) stated during the interview that hairnets are required by all facility staff to be worn before entering the kitchen. A1 also stated that the emergency exit in the kitchen is never blocked are obstructed with boxes, chairs or anything because It would be considered a fire hazard. A1 denied the allegation that staff did not keep the emergency exits free of obstructions. On 01/21/2026, LPA Troy Watson interviewed Staff #1 -Staff#3 (S1–S3). Out of those interviewed 4 out of 4 staff members denied the above allegation. On 01/21/2026 LPA Troy Watson obtained and reviewed the facilities Evacuation Plan and observed on the Evacuation Plan two exits clearly marked for evacuation of the facility in case of an emergency. LPA Watson also obtained and reviewed the Fire Safety Inspection Request, and it showed a stamped approved clearance for 88 residential occupants. LPA Watson toured the facility with the Administrator and observed that all exits were free of obstructions. Based on the information gathered from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegation. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegation is Unsubstantiated. An exit interview was conducted with the Administrator Ashley Shire and copies were provided.