complaint·April 18, 2024

In regards to the allegation "Staff did not post CCL signs in an accessible area for residents" it was alleged that the facility does not post required postings from licensing and the administrators certificate. (5) of (5) Staff interviewed denied the allegation. (2) of (2) Residents interviewed could not corroborate the allegation. LPAs observed the facility to have required posting located in the hallway accessible to all residents in care. The posting observed included the personal rights form, resident council form, emergency disaster plan, CCL let us know poster, local ombudsman, facility license, and designation of facility responsibility amongst others. LPA's observed current administrator's certificate posted as well. The certificate is active. Based on interviews, file review, and observations; although the allegation may have happened or are 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 and a copy of this report was provided.