complaint·January 13, 2023

Allegation: Facility staff was having sex with their boyfriend at the facility. It is alleged that a caregiver staff's boyfriend slept over the facility between dates November 24, 2022 - December 2022. On multiple times, former caregiver staff (S5) and boyfriend were overheard having sex, as well engaging in arguments. Two (2) out of six (6) residents confirmed that they overheard staff (S5) and boyfriend have sex with it's boyfriend. Four (4) out of six (6) residents stated that they overheard staff (S5) argue with boyfriend during nighttime hours. All staff interviewed denied having knowledge that former staff (S5) had sex with boyfriend in the premises. Staff (S5) worked temporarily at the facility between November 1, 2022 - December in order to provide staff coverage because another staff was on an extended vacation. There are 2 caregiver rooms in the home. Former staff (S5) was living in the caregiver room next to the office that has an entrance on the north side yard. Staff stated it is possible that staff (S5) sneaked in it's boyfriend since the caregiver door leads to the side yard. Administrator stated that S5's boyfriend was not allowed to sleep/reside in the property. However, staff stated that sometimes staff (S5's) boyfriend parked in the garage driveway and slept in it's vehicle. Allegation: Uncleared adult at the facility. It is alleged that former staff (S5's) boyfriend slept at the facility over night while staff (S5) worked at the facility. Based on interviews conducted, the findings indicate that Administrator hired S5's boyfriend to paint the interior of the house as a third party contractor. The project lasted approximately two (2) weeks. The boyfriend worked at the facility from 10:00 am - 9:00 pm. Administrator stated that livescan fingerprints were not obtained. However, since the "boyfriend" spent at minimum 11 hours a day three (3) to four (4) times a week at the facility and was observed by residents staying and hanging out in caregiver's room there is sufficient evidence to corroborate that former staff (S5's) boyfriend required criminal record clearance. Four (4) out six (6) residents stated they observed staff (S5's) boyfriend inside the facility during daytime and nighttime hours. In addition, staff (S4) began working at the facility in late December and has not been associated to the facility. Administrator Iwona Kaya stated she does not have access to Guardian database because former Administrator is still the account user. See LIC 9099C for report continuation Allegation: Facility did not provide a comfortable environment for resident. It is alleged that the facility has narrow doorways that make it difficult to ambulate to and from when using a wheelchair and/or walker. Based on physical plant inspection observation three (3) out of four (4) resident bedrooms had doorways that were narrow in size, of which a regular size wheelchair and walker could not fit in order to exit the door. One (1) resident bedroom is missing a door due to the narrow doorway entrance. The resident that lives in the room requires wheelchair and walker devices. These assist devices could not safely exit the room door if there was a door. Three (3) out of six (6) residents stated the facility does not provide a comfortable environment. All staff stated the facility is comfortable. However, staff acknowledged the bedroom doorways are narrow and some resident's wheelchairs and walkers are not able to fit through the doorway. Allegation: Facility did not provide a safe environment for resident. It is alleged that the facility has tripping hazards, such as uneven floors inside the facility due to different flooring types i.e. tile, laminate flooring, and flooring trim transitions. Based on observation, different types of flooring trim transitions were observed throughout the facility. In addition, the backyard concrete pavers were raised at least 3 inches posing a tripping hazard for residents and staff. The backyard had a wood plank planter divider that was raised approximately 6 inches from the floor. The wood plank had nails sticking out of the wood. Discarded furniture debris was also observed in the north side of the yard. The facility has two side yard passageways; only the north side has an exit to the front of the property. The north side exit door had a lock that required a key on the door. Administrator immediately unlocked the lock and removed the lock. Therefore, observations made corroborate the allegation. Based on interviews conducted, record review, and observations, the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. Deficiencies are cited. See LIC 9099D. Exit interview was conducted with Administrator Iwona Kaya. A copy of the report and appeal rights were provided.