complaint·May 10, 2024

It Is being alleged residents are having loud conversations outside of peer’s bedroom while peer is sleeping. On 05/09/24 LPA interviewed ED regarding the allegation above, Ed denied the allegation above. Per ED, residents have the right to gather in common areas but are asked to not to speak so loudly when outside of a peer’s bedroom. ED continued to report that staff will offer a different common area with privacy for residents to gather. On 05/08/24 between 12:18pm-1:17pm, LPA interviewed R5-R12 regarding the allegation above, 8 of 8 residents interviewed denied the allegation and reported feeling safe at the facility. LPA was unable to interview R1 as R1 did not want to be interviewed. On 05/08/24 between 12:20pm-1:17pm, LPA interviewed S1-S4 regarding the allegation above, 4 of 4 staff interviewed denied the allegation above. 4 of 4 staff interviewed reported rounds are conducted every 2 hours, and that if needed there are de-escalation procedures that take place to ensure conformability and safety. On 05/08/24 LPA conducted a tour of the facility and did not observe any immediate health and safety concerns. 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 conducted with Executive Director Imelda Villanueva , and a copy of this report was provided.