complaint·April 8, 2025

Allegation: Staff are prohibiting resident from having visitors. It is alleged that on April 3, 2025 facility staff did not allow a former staff (S5) to visit resident (R1). According to information obtained, the resident's family notified the former staff that resident was "transitioning" i.e., nearing the end of their life and invited the former staff to visit R1. The complaint alleges Executive Director and Administration staff prohibited former staff (S5) from visiting R1 by stating that per Admission Agreement and Human Resource policy no former staff are allowed to visit residents because it is a conflict of interest. Resident (R1) passed away on April 6, 2025; therefore was not interviewed. A total of seven (7) residents were interviewed, of which two (2) stated that former staff were previously allowed to visit residents, but are no longer being allowed. One resident (1) stated they now have to go outside the facility to talk to former staff. Another resident stated that a former staff came to visit the resident, but was not allowed. Four (4) out of seven (7) staff stated they believe former staff should be allowed to visit them. Employee Handbook [April 18, 2023] page 40, "Visitors in the Workplace" states 'To provide for the safety and security of our residents, employees, and the general facility, only authorized visitors are allowed in the workplace. The Residence and Care Agreement, page 14, states "All visitors must register at the front desk when entering La Posada. We reserve the right to remove or deny entry to La Posada to any visitor whom we determine is disruptive or dangerous." Based on record review, the Plan of Operation, Employee Handbook, Residence Care Agreement do not explicitly state that a former employee is not allowed to visit. Therefore, there is evidence to corroborate the allegation. Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency is being cited according to Title 22. See LIC 9099D. Exit interview was conducted with Executive Director Beatriz Lui. A copy of the report and appeal rights were provided.