Complaint·August 29, 2023

On 8/29/2023, Licensing Program Analyst (LPA) D. Ayers conducted an unannounced complaint inspection. LPA met with Executive Director Tiffaney Santoro. The purpose of this visit is to deliver the finding of the investigation completed by the Department. LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility. 1) Facility staff sharing resident's personal information with another resident - Based on interviews, a resident has alleged that staff have shared personal information regarding their personality traits or personal relationships. There are no witnesses to corroborate this information. Staff have denied this allegation. 2) Staff do not prevent resident from intimidating other residents in care - Witnesses have denied that residents were intimidating other residents. Staff have proper protocols in place to respond to residents threatening other residents. Although these 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. A copy of the report was provided to the licensee vial email and exit interview conducted.