Complaint·April 1, 2025

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with Executive Director Dorla Licausi, reviewed records and interviewed staff. Based on records reviewed, LPA was not able to find evidence so support the allegations listed above. Records reviewed showed the facility contacted emergency services when residents are in need and basic first aid is provided when emergency services are not required. Based on interviews conducted and records reviewed, the facility has a strict no smoking indoor policy. Residents, however, are able to make decisions and not follow the policy. When smoking indoors is observed, staff remind residents of the risk and request they use the outdoor smoking areas. Based on records reviewed, residents have been found sleeping in areas other than their rooms. Records show when a resident is found sleeping in public areas, they are checked on and assisted back to their rooms. Based on records reviewed, residents are sometimes found in other resident rooms. Residents are checked on and assisted to their own rooms. Staff document the interaction and when needed, care plans are updated to increase monitoring of residents. LPA was not able to find evidence to show residents are interfering with other residents care needs. 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.