complaint·November 18, 2024

(Continued from LIC 9099) members interviewed reported they did not have any issues with S1 and that S1 was a leader and always helped the team. LPA Quiroz interviewed S1 who acknowledged the facility lacked staffing at times and that some residents can be more difficult to assist than others. S1 denied having any knowledge of abuse happening within the facility and was aware of requirements to report if observed. LPA Ruppert requested and reviewed the employee file mentioned in the complaint and there were no disciplinary actions for this employee. S1 resigned from the facility in 2023 due to obtaining another job. LPA Ruppert requested staffing schedules from November and December 2022. Facility was unable to provide documentation since home office changed staffing software applications. A technical violation was given since records missing did not pose an immediate or potential health risk to persons in care. Since ED Ulland’s arrival the facility has implemented uploading monthly and daily staff schedules into SharePoint to archive documents. Although the above allegation may have happened there is not a preponderance of evidence to prove the alleged violation occurred; therefore, the allegation that staff failed to provide supervision resulting in not meeting residents’ needs is unsubstantiated. An exit interview was conducted with Peggy Ulland, Executive Director (ED) and a copy of this report and LIC 9102-TV was provided to the facility.