Complaint·January 21, 2026

Regarding the allegation, staff refused to assist residents with diaper changes, two (2) resident interviews indicate that there is enough evidence to corroborate the allegation that staff refused to assist residents with diaper changes. The Administrator and three (3) staff interviews indicate that they have not refused to assist residents with diaper changes. Regarding the allegation, the Administrator is at the facility an insufficient amount of hours, two (2) resident interviews indicate that the Administrator is present at the facility for a sufficient number of hours. The Administrator and three (3) staff interviews indicate that the Administrator is present at the facility for a sufficient number of hours and, when not at the facility, is available via telephone. Based on the Department’s investigation, the allegations are Unsubstantiated. A finding of Unsubstantiated means 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 a copy with appeal rights was provide to Caregiver Penila at the conclusion of the visit.