complaint·January 16, 2024

The investigation revealed the following: Allegation: Staff do not ensure resident rooms are kept clean. It is alleged that staff do not clean, take out trash or make beds for residents. LPA toured facility a total of 8 resident rooms were checked, beds in each room were observed to be made and rooms appeared to be clean and trash was emptied. LPA interviewed 6 staff and 5 out of 6 staff stated that rooms are maintained daily, trash is thrown out and beds are made, with a deep cleaning that includes mopping, scrubbing and dusting 2 times a week or as needed. LPA interviewed 5 residents and 5 out of 5 residents denied the above allegation and stated their rooms are cleaned daily, deep cleaning is done 2-3 times a week and trash is emptied daily. Allegation: Staff do not have appropriate training. It is alleged that the cook and/or janitor are assisting with medication administration and do not have proper training to do so. LPA reviewed 4 staff files that assist with medication and each file had the required medication administration training was documented in their personnel files. LPA interviewed 6 staff and 2 of 6 staff stated they administer medication and are trained, LPA reviewed their files and training was documented. LPA interviewed 5 residents and 5 out of 5 residents stated that the staff that administers medication is the same staff daily and have never been given medicine by a cook/janitor.(LPA reviewed files of staff mentioned, each had proper training documented) Based on statements and interviews conducted with staff and residents, review of staff files and in-service training records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are 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 held, and a copy of this report was provided to Sasha Sanchez.