Complaint·October 15, 2025

Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. The investigation into the allegation, staff monitor residents via hidden cameras, revealed the following. The facility has a ring doorbell camera next to the patio entrance gate which leads into the front patio where the main entrance to the facility is. There is a video camera in the front outdoor patio and the living room. The living room video camera was removed on August 23, 2023. During the initial 10-day visit on August 22, 2023 and a subsequent visit on August 23, 2023, LPAs did not observe any video cameras in residents' rooms. Resident 1 (R1) reported that there was a camera on their TV and they thought it was recording them. R1 has been diagnosed with Dementia. The camera on R1's TV was a photographic camera that did not have the ability to record video. Resident 2 (R2) reported that there was a camera in their room recording them but upon inspection no camera was found. R2 still insisted without any evidence that they were being recorded. 4 out of 4 staff interviewed reported that they were unaware of any cameras in residents' rooms. 5 out 12 residents interviewed reported they did not have any cameras in their rooms. 7 out of 12 residents did not respond to LPAs questions and could not be interviewed. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. The investigation into the allegation, staff are unqualified to meet residents needs, revealed the following. It was alleged that staff are not properly trained and can't effectively communicate with staff. During both visits by LPAs on August 22 and 23 of 2023 LPAs had no issues communicating with staff. LPAs interviewed 5 out 12 residents who reported no issues with staff. 7 out of 12 residents did not respond to LPAs questions and could not be interviewed. 4 out of 4 staff interviewed reported no issues communicating with residents. LPAs reviewed 5 staff files and verified all 5 staff had the required 20 hours training. LPAs observed at the time the complaint was filed the Administrator had a valid Administrator's certificate and currently has a valid Administrator's certificate. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. The investigation into the allegation, staff providing care and supervision while intoxicated. Revealed the following. It was alleged that Staff 1 (S1) provided care to residents while intoxicated. 4 out of 4 staff reported that none of the staff have provided care while intoxicated. The Administrator stated no staff member has ever provided care while intoxicated. 5 out of 12 residents reported they are unaware of any staff member providing care while intoxicated. 7 out of 12 residents did not respond to LPAs questions and could not be interviewed. No evidence was gathered that shows S1 ever worked at the facility. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. The investigation into the allegation, staff is financially abusing residents , revealed the following. It was reported that facility staff financially abused Resident 13 (R13). R13 passed away on March 3, 2020. It was alleged that the Administrator used R13's personal information to secure a loan in R13's name to purchase a car for the Administrator's father. The Administrator denied the allegation. The Administrator's father denied the allegation. It was reported that the Administrator is financially abusing all residents in care. The Administrator denied the allegation. 4 out of 4 staff interviewed denied the allegation and reported they had no knowledge of any financial abuse taking place. 5 out of 12 residents interviewed reported that their families handle their money and they have no monetary issues. 7 out of 12 residents did not respond to LPAs questions and could not be interviewed. LPA interviewed 2 responsible parties for Residents 3 and 4 who reported they handle the residents' money and the facility has no access to their money. The Administrator reported that they are the payee for only one resident who receives SSI. The Administrator reported that Resident 2 (R2) receives the SSI rate and the remainder of their funds is kept in a bank account and in Personal and Incidental (P & I) funds at the facility in cash (kept secured). LPA verified this information through R2's bank records and reviewing their P & I funds. No discrepancies were observed. R2 moved out of the facility on October 24, 2023. No evidence was gathered to support the allegation. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. The investigation into the allegation, staff is denying residents' access to make and receive confidential calls, revealed the following. It was reported that the Administrator would screen all calls for residents and not allow residents to speak on the phone or would listen in on calls. The Administrator denied the allegation. 4 out of 4 staff interviewed reported all residents are given privacy when they receive a call and have no knowledge of anyone screening or listening in on calls. 5 out 12 residents interviewed reported they have privacy when using the phone and have no knowledge of anyone listening in on calls. 7 out of 12 residents did not respond to LPAs questions and could not be interviewed. The Administrator reported that residents who have the ability to use the phone have their own cell phone and do not use the facility phone for their calls. None of the evidence gathered supports the allegation. Based on the evidence gathered the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.