complaint·February 24, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility, interviewed staff, residents and witness. Regarding the allegation that uncleared individuals staying at the facility over the weekend, the investigation revealed the following: LPA observed no uncleared individuals at the facility on two different occasions including a weekend visit. All staff observed are fingerprint cleared and associated. Three out of three residents, witness and five out of five staff deny any visitors spending the night at the facility and indicate the only weekend visitors are resident family members. Based on observation and interview, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. An exit interview was conducted and a copy of this report was provided to a facility representative.