complaint·April 7, 2025

The investigation revealed the following: Allegation: Staff are not addressing smoking on the premises It is alleged that there is an ongoing issue with smoking on the premises (in non-designated smoking areas) and staff has not tried to enforce the smoking rules. LPA toured facility along side Assistant Administrator Jason Perez, both 1 st and 2 nd floors were toured including a tour of 5 resident rooms. LPA did not observe and odors of smoke during tour nor were there signs of smoking in restricted areas. Upon arrival, and prior to leaving facility LPA observed both the front and rear entrance and did not see any residents smoking in the non-designated areas or near the entrance/exit doors. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation, some stated they have seen residents begin to smoke in the restricted area in front of the facility but they do remind the residents of the smoking policy and where they are able to smoke, in which residents will comply and move to the appropriate smoking area. LPA interviewed 13 residents and 13 out of 13 residents denied the above allegation stating that facility staff are enforcing the smoking rules and designated areas. Some residents stated that staff were not doing much in the past on enforcing the smoking areas to the residents but within the last two months they have seen a change and confirmed they have observed staff enforcing the rules. 6 of the 13 residents interviewed are smokers and each confirmed they are aware of the smoking areas, try their best to follow the staffs directive on approved smoking areas and have witnessed staff redirect residents when they are smoking in restricted areas. Based on statements and interviews conducted with staff/residents, and LPA's observations, there was not enough supportive evidence to concur with the reported allegation. 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 held, and a copy of this report was provided.