complaint·March 29, 2023

On March 29, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to investigate a complaint regarding the listed allegations. LPA Mixson met with Administrator introduced self and stated the purpose of the visit. Present in the facility are 32 residents and 10 staff including caregivers. LPA Mixson toured the facility, along with the Administrator, and there were no health and safety concerns observed. During this visit LPA Mixson conducted staff and resident interviews, requested and received pertinent documentation, and made observations pertaining to the listed allegations. After assessment of evidence received, the outcome of the allegation findings was deemed UNSUBSTANTIATED. A finding of unsubstantiated means that, "Although the allegation may have happened or is valid, there is not a preponderance of evidence strand to prove the alleged violations did or did not occur." Therefore, the allegation is found unsubstantiated at this time. LPA Mixson conducted staff and resident interviews, toured the facility, made observation, and reviewed pertinent documentation. Information obtained through interviews and records review was not enough to demonstrate that the listed allegations did or did not occur. An exit interview was conducted and a copy of this report, along with the LIC 811, was provided to the Administrator.