Complaint·November 25, 2024

have fingerprint clearance. Regarding the allegation #3 LPA Ramirez and LPA Mann conducted 3 staff interviews. 3 out of the 3 staff informed LPAs staff do not lock doors to prevent residents from leaving, 2 out of the 3 staff stated doors are locked at night when residents are sleeping. LPA Ramirez and LPA Mann conducted 5 resident interviews. 5 out of the 5 residents informed LPAs the doors are not locked to prevent them from leaving Regarding the allegation #4 LPA Ramirez and LPA Mann conducted 3 staff interviews. 3 out of the 3 staff informed LPAs staff do not insert suppositories in residents. LPA Ramirez and LPA Mann conducted 5 resident interviews. 5 out of the 5 residents informed LPAs staff do no insert suppositories in residents. Regarding the allegation #5 LPA Ramirez and LPA Mann conducted 3 staff interviews. 3 out of the 3 staff informed LPAs staff complete all required trainings. LPAs observed and reviewed records all staff have all required trainings. Regarding the allegation #6 LPA Ramirez and LPA Mann conducted 3 staff interviews. 3 out of the 3 staff informed LPAs staff records are not falsified. LPAs observed and reviewed records and no staff records are falsified. Regarding the allegation #7 LPA Ramirez and LPA Mann reviewed and observed staff maintain resident records. Regarding the allegation #8 LPA Ramirez and LPA Mann conducted 3 staff interviews. 3 out of the 3 staff informed LPAs residents are provided proper food service LPA Ramirez and LPA Mann conducted 5 resident interviews. 5 out of the 5 residents informed LPAs residents are provided with proper food service. Regarding the allegation #9 LPA Ramirez and LPA Mann conducted 3 staff interviews. 3 out of the 3 staff informed LPAs there are no residents in care that need assistance with diaper needs, however 3 out of the 3 staff stated they will assist with diaper needs if needed. LPA Ramirez and LPA Mann conducted 5 resident interviews. 5 out of the 5 residents informed LPAs they do not need diaper assistance and can independently use the restroom on their own. Based on LPAs observations, record review, and interviews, the above allegations are Unsubstantiated; meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed and appeal rights were provided to House Manager Mistie Felton at the conclusion of the visit.