complaint·July 29, 2025

among the seven residents interviewed. LPA spoke to two residents who shared a room together. One resident, Resident 1 (R1) interviewed, felt the facility did not do anything enough and felt their privacy was violated. The resident complained that their roommate played the television 24 hours non-stop. The facility had made both residents come to an agreement but R1 did not feel the roommate did not follow the agreement and remained unresolved. Two staff interviewed felt the facility did their best to accommodate their privacy with residents who shared an apartment together. They offered solutions with residents but with R1, they did not like the options and had made up their mind of leaving the facility. It was alleged that staff inappropriately removed resident’s door. Staff explained to LPA that residents who share an apartment together share the entire space together. There are no designated spaces for any of the residents in the shared apartment. Residents are fully aware when they move in that the entire space of the room is shared. Some shared resident rooms have a door because if not shared, the apartment is a one-bedroom apartment. When it is shared the apartment is called a semi-private or companion suite and residents can decide if they want to keep the door or remove it. If the door remains in the shared apartment, the staff remind the residents to be mindful of sharing the entire space together and that the facility can remove the door if needed when issues occur between residents. With two of the nine residents interviewed, residents had an issue with each other where one resident closed the door not allowing the air conditioning to come through the entire apartment. The other resident had problems with the television noise. As a result of them having issues, the staff removed the door. Two of the staff interviewed did say that both residents agreed to have the door being removed. R1 said they did not agree to it. One staff member said after the agreement was made between R1 and their roommate, R1 said the noise was better and gave permission to remove the door. Since the entire space of the apartment is shared all residents have access to any part. Residents signed the admission agreement in where the section, “Alterations” acknowledges that the facility may make alterations to meet the requirements of any applicable law or regulation. In this case both residents are not afforded equal access to the shared space, so the facility made the decision to take the door down. Therefore, based on LPA Tea's observations and interviews conducted and records reviewed the allegations staff are not ensuring resident is accorded privacy and staff inappropriately removed resident’s door has been determined to be unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Complaint Report continued on LIC9099-C No deficiencies cited at this time and an exit interview was conducted with Executive Director John Goodwin. A copy of the report and confidential names list were provided to the facility. The residents share the bathroom, closet, kitchenette and the rest of the suite, it is accounted for as one shared space. Two facility staff interviewed said residents who sign up for these rooms are aware before moving into these shared suites that everything is shared and there is no room or part of the room given to a resident. One staff member explained that residents were explained and shown the configurations of the suites prior to moving in during a room tour. The residents accepted and were aware that everything in the suite space must be shared and all residents have equal access to the space. 8 out 9 residents confirmed they were aware about moving into a shared space and the nature of the space prior to moving in. Therefore, based on LPA Tea's observations, interviews conducted, and records reviewed the allegation that staff did not ensure resident’s room was not used as a passageway to the bathroom has been determined as UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. No deficiencies cited at this time and an exit interview was conducted with Executive Director (ED) John Goodwin. A copy of the report was provided to the facility.