Complaint·December 4, 2024

LPA observed and reviewed facility’s pest control agreement to confirm the above. As a result, there is not a preponderance of evidence to conclude licensee does not ensure facility is kept free of pests, therefore, this allegation is UNSUBSTANTIATED. Allegation: Licensee does not ensure staff are in good health to perform assigned tasks. LPA conducted interviews, record reviews, and observation as noted above. Interviews conducted did not reveal staff attempting to perform assigned duties while exhibiting poor health symptoms. Interviews further revealed staff are not being requested to work while ill. LPA’s review of various staff records revealed that staff can physically perform duties and are in adequate health. LPA’s observation revealed staff interacting appropriately with residents in care and able to perform various care techniques appropriately and without physical difficulty. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. Allegation: Licensee does not ensure equipment is maintained and in good repair. LPA conducted interviews and observation as noted above. Interviews conducted revealed no corroborated statement of disrepair items in facility currently or in the recent past. LPA’s observation revealed no disrepair items within facility. LPA observed the proper functionality of devices in kitchen and all four cottages including dishwashers, refrigerators, and lighting fixtures. As a result, there is not a preponderance of evidence to conclude facility’s equipment is in poor condition or disrepair, therefore, this allegation is UNSUBSTANTIATED. An allegation of unsubstantiated means that the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Executive Director and a copy of this report was provided. Appeal rights provided.