complaint·February 7, 2024

3. The Department investigated the allegation: Activities canceled & not enough for residents to do. LPA reviewed the activities calendar which had different activities listed throughout the month. LPA interviewed staff and residents. Interviewees verified there was one time during the month activities were cancelled due to a situation that took place that day with the activities director. 4. The Department investigated the allegation: Tables not being sanitized. On 1/25/24 LPA toured the dining area of the facility and the areas with tables. LPA observed the dining tables to be clean and set to serve the next meal. LPA conducted interviews with staff and residents. Staff stated there is procedure in place that all tables are cleaned and sanitized after every meal, there is assigned staff who clean and sanitize the tables and areas throughout the facility. 5. The Department investigated the allegation: Kitchen staff not wearing hair nets or masks during food prep. On 1/25/24 when LPA toured the kitchen of the facility which only had one staff member at the time. LPA conducted interviews with staff who stated gloves are worn while food is being prepared and served. Per Title 22 there is no specifics requiring hairnets or masks. 6. The Department investigated the allegation: Facility had no certified drivers in December and allowed staff to drive commercial vehicles. LPA conducted interviews with staff and residents. Interviewees stated the vans at the facility are bing used at this time since there is no certified driver to drive the facilities commercial vehicles. After conducting interviews, observing the facility, and record reviews the LPA found there not to be enough evidence for the allegations. 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. Exit interview was conducted and a copy of this report LIC9099 was provided to Executive Director Kelly Reynolds.