complaint·March 26, 2026

The Department was unable to conduct an interview with R1 for this complaint, due to R1 moving out of the facility on January 31, 2025. The Department conducted an additional six resident interviews. Five out of the six residents interviewed denied the allegation and stated that they have not had any issues with receiving their medication from staff. However, one out of the six residents stated that they have received the wrong dosage of their medication by staff on two previous occasions. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that R1 was given all of her medications according to orders prescribed by her physician. Regarding the allegation, staff did not return medication to resident upon termination of services, the following has been concluded: It was alleged that staff did not return medication to R1 upon termination of services. The Department was unable to conduct an interview with R1 for this complaint, due to R1 moving out of the facility on January 31, 2025. The Department reviewed R1's medication release form, which describes the medications that were released for R1 upon her termination from the facility. The Department observed that all of R1's prescribed medications were released to an authorized representative on January 31, 2025. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that all medications were released for R1 to an authorized representative when she moved out of the facility. However, one staff stated that one medication was not initially provided to the authorized representative for R1. The staff stated that when they realized this issue, R1's responsible party was contacted and that they picked up the missing medication the same day. The staff stated that the medication release form for R1 was later updated to reflect the additional medication release. Regarding the allegation, staff made inappropriate comments to resident, the following has been concluded: It was alleged that staff made inappropriate comments to R1. The Department was unable to conduct an interview with R1 for this complaint, due to R1 moving out of the facility on January 31, 2025. The Department conducted six resident interviews. Six out of the six residents interviewed denied the allegation and stated that staff have never made any inappropriate comments to them. The Department conducted five staff interviews. Five out of the five staff interviewed denied the allegation and stated that they have never observed, or heard of any staff making any inappropriate comments to R1, or any other resident. CONTINUED ON LIC9099-C Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the three allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Assistant Executive Director Sofiane Lahouasnia and a copy of the report was provided.