complaint·September 17, 2024

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPA toured the facility and interviewed staff and residents. Regarding the allegation that uncleared individuals staying at the facility over the weekend, the investigation revealed the following: Three out of three staff deny any uncleared individuals at the facility. Facility Administrator indicates many family members as well as therapists visit on the weekend. Interview with two out of two residents and witness confirms only family members and medical personnel are at the facility on the weekend. Administrator indicated formal visiting hours are 9AM to 8PM but the facility is flexible with visitation. LPA verified all staff on the LIC 500 are background cleared and associated to the facility. Based on interviews conducted, 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 Administrator..