Inspector’s narrative
What the inspector wrote
Treatment dates include September 10, 2024; September 24, 2024; October 8, 2024; October 22, 2024; November 12, 2024; November 26, 2024; and December 10, 2024. Based on interviews 7 out of 7 residents confirmed that they have not seen any bed bugs in their rooms or in the facility. Furthermore, five facility staff members denied the allegation. Additionally, LPA Lee interviewed another individual from an outside agency, who reported not witnessing any bedbugs in resident’s room. Based on the interviews, observations, and record review, there is no preponderance of evidence to support the claim of a bed bug infestation. Therefore, the allegation is unsubstantiated.
An allegation was made that staff stole from resident in care. The investigation included interviews with both residents and facility staff. Based on these interviews, 7 out of 7 residents interviewed reported no concerns regarding staff stealing from residents. Additionally, five of the facility staff members interviewed denied the allegation. Through the investigation, it was learned that resident 2 (R2) had $200 and gave $100 to staff 1 (S1) to purchase groceries on R2’s behalf. S1 then reported and gave $100 to Assistant Administrator Lezel, who then returned the money to R2’s wallet and informed R2. When interviewed, R2 confirmed that $100 was given to a staff member and that the money was returned. However, R2 also stated uncertainty about what happened to the money; therefore, it is unclear what had happened to R2’s $100. After reviewing all interviews there is insufficient evidence to determine whether the alleged allegation did or did not occur. Therefore, the allegation is unsubstantiated.
The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be
UNSUBSTANTIATED
. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.
Five facility staff members interviewed also denied the allegations. Based on the information and interviews gathered, there is no preponderance of evidence to support the claim. Therefore, the allegation is unsubstantiated.
An allegation was made that residents sustain unexplained injuries while in care. The investigation included observations, a review of records, and interviews with facility staff and residents. During visits to the facility on October 7, 2024, and November 7, 2024, LPA Lee did not observe bruises on Resident 1 (R1) or other residents. However, LPA Lee did observe old scabs on R1’s arm. Based on interviews staff stated that R1’s scabs are a result of R1’s use of blood thinner medication and bumping into objects. Records confirmed that R1 is on blood thinner medication. LPA Lee interviewed 7 out of 7 residents, all of whom denied any abuse by facility staff. R1 also stated that R1 tends to bump into things, which is how R1 sustained bruises and scabs. Furthermore, R1 indicated that R1 has no concerns regarding care. Additionally, LPA Lee interviewed another individual from an outside agency, who reported not observing any residents having bruises and injuries. Based on the interviews, observations, and information gathered, there is no preponderance of evidence to support the claim. Therefore, the allegation is unsubstantiated.
An allegation was made that the facility freezer is in disrepair. The investigation included observations and interviews with facility staff. On October 7, 2024, and November 7, 2024, LPA Lee observed the freezer’s temperature to be -23°C and noted that it appeared to be in good repair. Additionally, the produce in the freezer was properly frozen with no signs of freezer burn or frostbite. Five facility staff members interviewed denied the allegation that the freezer is in disrepair. Based on the observations and interviews conducted, there is no preponderance of evidence to support the claim. Therefore, the allegation is unsubstantiated.
An allegation was made that the licensee is not addressing a bed bug infestation at the facility. The investigation included observations, a review of records, and interviews with residents and facility staff. On October 7, 2024, and November 7, 2024, LPA Lee toured the facility, including resident bedrooms and mattresses, and did not observe any bed bugs. A review of the facility’s records confirmed that the facility has maintained an active contract with
All-in-One Pest Control Inc.
since October 10, 2022, with no gaps in service. Additionally, the facility is receiving treatment services twice a month. The
All-in-One Pest Control
treatment logs indicate that the facility has received services in both the interior and exterior of the building, including resident bedrooms.
Continued LIC 9099-C
On November 7, 2024, LPA Lee revisited the kitchen to inspect the freezer and refrigerator. During this inspection, 10 packages of pancakes, 2 packs of hot dog buns, 1 pack of waffles, and 1 pack of toast were observed in the freezer, with none displaying expiration dates, creating uncertainty about their freshness. Additionally, on October 7, 2024, LPA and Ombudsman observed two kitchen staff members preparing lunch for residents without wearing gloves and hair nets. One kitchen staff was observed cutting chicken without gloves and hair nets. When questioned by LPA Lee and Ombudsman Siraj why the staff was not wearing gloves staff explained that he/she had already washed their hands. Furthermore, it was noticed that a bag of frozen chicken breast was left in the kitchen sink, sitting in a bowl of water to thaw.
As a result, this allegation is SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted with Tasha and Melissa and a copy of this LIC 9099, LIC 9099-D page and appeal rights provided to facility.
