complaint·December 12, 2025

The investigation revealed the following: Allegations: Staff hit resident and Staff speak to resident in an inappropriate manner. It was alleged that staff hit the resident arm (There were no visible signs of abuse on resident’s arm/hand) and staff tell resident “Shut up”. Interviewed Administrator and staff denied the allegations. They stated that they didn’t speak to R1 or other residents in an inappropriate manner telling them “Shut up”. They stated that they didn’t hit R1 or other residents. Interviewed Administrator and staff stated that the person who speaks inappropriately to residents and staff is R1. Interviewed Administrator and staff stated R1 is the one who curses and pushes staff. Interviewed FM1 and FM2 stated that staff is nice. They mentioned that R1 has a difficult personality and often make stories that never happened. They stated that R1 didn’t complaints that staff hit them. They didn’t see any marks or bruises on R1. Interviews with 3 residents indicated they have not been hit by staff. Interviewed R2 and R3 stated that facility staff didn’t speak in an inappropriate manner, and they didn’t hear that any staff tell R1 “Shut up” or hit R1. Interviews with staff, residents and FMs do not corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are Unsubstantiated. An exit interview conducted. A copy of this report was provided. The investigation revealed the following: Allegation: Uncleared staff caring and supervising resident. It was alleged that unclear individual work at the facility and facility has allowed S1 to provide care and supervision to clients without obtaining the required fingerprint clearance. During interview with Administrator was confirmed that S1 worked at the facility without fingerprint clearance. Administrator admitted that S1 was hired in October 2025 and has worked 3 days: 2 days in October 2025 and 1 day in November 2025. Administrator stated that S1 was not able provide fingerprint clearance and 11/16/25 was S1’s last day at the facility. LPA verified with the Regional Office telephonically that S1 does not have fingerprint clearance. Facility Personnel Report Summary did not list S1 on the report as an individual with clearance. The preponderance of evidence standard has been met; therefore the above allegation is found to be Substantiated. A deficiency is issued on the LIC9099D. Immediate civil penalty of $300 issued. An exit interview was conducted. A copy of this report and appeal rights were provided.