complaint·May 29, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator/ Licensee Theresa Dompreh-Mensah arrived during the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents as well as reviewed and obtained pertinent documentation such as training records. Regarding the allegations that staff are not adequately trained and facility is unsanitary, the investigation revealed the following: LPA toured the facility during the visit and observed the facility is clean, safe and sanitary. No hazards were observed during the visit. LPA reviewed training records and four out of four staff have required annual training as well as medication training. Based on observations and record review, the allegations are deemed UNFOUNDED, meaning the allegations were false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was provided to Administrator.