Complaint·June 25, 2025

Allegation: Resident was not protected from the injuries. It is alleged the resident is being burned all over their body and their right foot is severely burned and bruised. LPA conducted interviews with three residents (R1-R3), four staff (S1-S4) one witness (W1), and attempted to interview four additional witnesses (W2-W5) and one resident who were unreachable. Based on interviews conducted, three residents, four staff, and one witness, they all denied any injuries or harm to R1. Two staff members noted a bruise on R1’s foot, which they believed could be due to a tight ring toe. A photo of R1’s foot was reviewed and showed no signs of burn injury. Two other staff members reported hearing R1 cry or scream during the night on several occasions. Each time staff entered the bedroom to check on R1, staff observed no injuries or other individuals present that pose threat to resident. The alleged victim was not present at the facility during the visits and therefore was not observed by the LPAs. Based on information gathered, there is no sufficient evidence to corroborate the above allegation. Allegation: Resident was not protected from being hit. It is alleged the resident is being pummeled on their head, neck, and shoulders causing excruciating headaches. LPA conducted interviews with three residents (R1-R3), four staff (S1-S4) one witness (W1), and attempted to interview four additional witnesses (W2-W5) and one resident who were unreachable. Based on interviews conducted, three residents, four staff, and one witness denied resident was not protected from being hit. All three residents stated they did not hear or witness any resident being hit at the facility. Two staff stated on several occasions they heard R1 cry and scream at night in their bedroom. Both staff checked on R1 and found R1 alone in the bedroom, with no other individuals present. Based on information gathered, there is no sufficient evidence to corroborate the above allegation. Allegation: Licensee not properly addressing pests at the facility. It is alleged the facility has been crawling with cockroaches for months. LPA conducted interviews with three residents (R1-R3), four staff (S1-S4) one witness (W1), and attempted to interview four additional witnesses (W2-W5) and one resident who were unreachable. Based on interviews conducted three residents, four staff, and one witness denied Licensee not properly addressing pests at the facility. Two residents stated they have heard there were cockroaches in the kitchen in the past, but they have not seen cockroaches anywhere in the facility. Two staff members reported occasional sightings of cockroaches in the kitchen area. Continued on LIC9099-C In response, the licensee promptly contracted with a licensed pest control agency. Since then, the agency has conducted regular inspections and treatments, with additional services provided as needed, to ensure ongoing pest management and compliance with health and safety standards. Licensee stated in an interview that they had a contract with Corky’s Pest Control and switched to Terminix in January 2025, maintaining the facility with a pest control to prevent reoccurring of cockroaches. Based on record review, the facility had a monthly contract with Corky’s Pest Control from June 2024 through December 2024 and switched to Terminix from January 2025. During a facility tour on June 25, 2025, LPA inspected the kitchen cabinets, bathroom cabinets, common areas, bedrooms, and the outdoor physical plant and did not observe any cockroaches. Based on information gathered, there is no sufficient evidence to corroborate the above allegation. Based on record reviews, interviews, and observations, LPA did not find sufficient evidence to support the above allegations. 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. Exit interview was conducted and a copy of the report was provided to Licensee Wennie Earwood.