complaint·November 7, 2023

During interviews with the Residents, none of them corroborated that S1 is not a properly trained staff member, nor that S1's sibling works at the facility. Both R3 and R6 explained that S1 is very helpful and very nice to both of them, and that the sibling of S1 does come to the facility as well but they do not witness the sibling performing caregiving duties and only comes to have conversation with them. During interviews with the staff, none of them corroborated that S1 is not properly trained, nor that the sibling of S1 works at the facility. S3 and S4 explained that S1 is their child and is properly trained and associated in the Guardian system. S3 and S4 explained that the sibling is also their child and occasionally comes to visit the facility on Saturdays for dinner because the sibling enjoys speaking with the residents, however they are currently a student in college and do not perform any caregiving duties. During record reviews of S1's training and the other staff members, LPA observed that all staff completed the required initial 40 hours of training upon hire, including the necessary 6 hours dedicated to Dementia Care along with 4 hours dedicated to Hospice Care, Postural Supports, and Restricted Health Conditions. LPA also observed training conducted for this year, and S4 explained that the facility staff will meet the annual training requirements by the end of the year. Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.