Complaint·March 14, 2022

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto me with Executive Director Charette and explained the elements of the complaint. Allegation #1 - LPA Prieto met with Executive Director (ED) Charette (S1) who has been at this position for over three years. LPA obtained "Designation of Facility Responsibility form (LIC308) designating Business Office Manager (S2) as designated ED in her absence. Allegation #2 - LPA Prieto reviewed eleven (11) resident's Medical Administration Records (MAR) log which reveal that resident's are receiving their medication as prescribed. No discrepancies were found during this investigation regarding missing or over medicating of residents. Allegation #3 - LPA Prieto obtained facility staff roster that shows facility is fully staffed. Interview with Executive Director states the facility is more that sufficiently staffed to meet the needs of the residents in care. LPA interviewed S3, S4, S5 and S6 who stated residents are cared for in groups and specific times so that they are aware of where the residents are at the facility. LPA interviewed residents #1 (R1), R2, R3, R4, R5, R6 and R7 all stating there is sufficient staff who care for their needs. Based on the information obtained there is not enough evidence that to support the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Charette and a copy was left at the facility.