complaint·August 25, 2023

Regarding allegation: Staff does not ensure food is of good quality. LPA toured the kitchen and reviewed the food menu and observed foods to be of good quality. Interview with Staff #1 indicate food is of good quality. Interviews with 7 of 7 Residents also indicate food is of good quality. Regarding allegation: Facility does not have a posted legible emergency evacuation plan. LPA reviewed a legible copy of the emergency evacuation plan posted on the lobby wall. Interview with Staff #1 indicate the emergency evacuation plan has been posted since the facility began operations. Interviews with 7 of 7 Resident indicate they are aware of an emergency evacuation plan which is legible and where it is posted. Regarding allegation: Facility does not ensure monthly fire drills are conducted. LPA reviewed copies of scheduled fire drills dated 04/20/23 and 01/19/23 and observed fire drills are conducted every 3 months which is required by department regulations. Interview with Staff #1 indicate fire drills are conducted every 3 months. Interviews with 7 of 7 Residents also indicate fire drills are conducted. Regarding allegation: Facility does not ensure residents have planned activities. LPA toured the facility and observed the activities calendar posted on the second floor. Interview with Staff #1 indicate Residents have planned activities. Interviews with 7 of 7 Resident also indicate planned activities are provided. Based on LPA's record review, observations and interviews, the investigation revealed: Although the allegations may have happened or is 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 conducted with Chanel Sanchez (Administrator) and a copy of this report provided.