complaint·July 10, 2025

Regarding Facility staff did not notify authorized representative of incidents, facility administrator notified both responsible parties regarding the incident. Records reviewed and interviews were conducted were administrator confirmed notifying both responsible parties of the incident on 12/07/2024. Regarding the Facility staff do not ensure the facility is free of pests. Based on interviews and records review the facility utilize services by pest control agency to keep the facility in sanitary condition. The maintenance director placed additional traps for rodents when observed close to facility entries. Regarding Facility staff do not ensure the facility is not clean/sanitary. Per observation during facility visits, interviews and records review staff keep facility maintenance in sanitary and good repair. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is unsubstantiated, at this time. An exit interview was conducted, and a copy of this report provided to administrator for facility records. No deficiencies were cited during the visit.