complaint·December 23, 2025

Regarding the allegation, Staff spoke to resident in an inappropriate manner, it was alleged Staff #2 (S2) had yelled at R1 after obtaining knowledge R1 sneaking in an unidentified male visitor in the evening. The two staff that were present during the meeting did not corroborate with the allegation indicating R1 was yelled at S2. Regarding the allegation, Staff did not respect resident's right to privacy, it is alleged that staff follows and watches R1 outside compromising their personal freedom. Based on the review of records, R1 is ambulatory and independent with their activities of daily living and is able to leave the facility unassisted per the physician's report dated September 3, 2024. Based on the interviews, three out of three staff denied following R1 while one out of two residents confirmed the allegation. The three staff indicated that all staff maintains routine visual checks on R1 when they go outside to smoke in the late evening to ensure they remain safe and comfortable. Based on the observation made, interviews which were conducted, and the records that were reviewed, 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 following allegations: Staff locked resident out of facility, Staff spoke to resident in an inappropriate manner, and staff did not respect resident's right to privacy are deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Mark Cruz, and a copy of this report was provided at exit.