complaint·September 19, 2025

On 09/19/2025, Licensing Program Analyst (LPA), Janette Romero conducted an unannounced visit to the facility to deliver an amended version of the original report regarding the allegations listed above. LPA met with Licensee, Elizabeth Hengstler who was informed of the purpose of the visit. The alleged victim has been identified as Resident 1 (R1). Licensee Hengstler reported R1 never resided in this facility. LPA contacted R1’s responsible person who confirmed R1 never resided in this facility. LPA reviewed R1’s admission agreement signed and dated 08/30/2023, noting the agreement is with a different facility located at a different address. Therefore, the allegations noted above are unfounded. Unfounded means the allegations are false, could not have happened and/or are without a reasonable basis. The Department has opened a complaint at the facility R1 resided at to investigate the allegations. An exit interview was conducted and a copy of this report and Confidential Names list (LIC 811) was reviewed and provided to Licensee Hengstler.