complaint·December 15, 2025

Regarding allegation 3, staff are not meeting resident’s dietary needs, four (4) staff interviews indicate that they are meeting resident’s dietary needs. Six (6) out of eight (8) resident interviews indicate that staff are meeting their dietary needs. In addition, LPA observed a list in the kitchen area of residents with special diets and/or preferences. Regarding allegation 4, staff are engaging in inappropriate behaviors in the presence of residents, Five (5) staff interviews indicate that they are not engaging in inappropriate behaviors in the presence of residents. Seven (7) out of eight (8) resident interviews indicate that staff have not engaged in inappropriate behaviors in their presence. Regarding allegation 5, Administrator is not meeting a sufficient number of hours in the facility, Five (5) staff interviews indicate that the Administrator is meeting a sufficient number of hours at the facility. Seven (7) out of eight (8) resident interviews indicate that the Administrator is at the facility a sufficient number of hours to address their concerns. Based on the Department’s investigation, the allegations mentioned in the report are Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed, and a copy was provided to Assisting Administrator Molina with appeal rights.