complaint·April 28, 2025

1 out of 11 residents was nonverbal and unable to answer whether staff respond in a timely manner to call pendant. As LPA interviewed a resident in their room, their call pendant was pushed and tested. LPA observed staff respond to the call pendant in 5 minutes and 30 seconds proving staff attend to call pendant in a timely manner. LPA interviewed 5 staff, which all have stated they respond to call pendants in a timely manner, they all try to respond to calls within 10 minutes max. Regarding Allegation #3, staff interviewed 11 residents. 10 out of 11 residents informed LPA staff treat them with dignity and respect. 1 out of 11 residents informed LPA some staff but not all treat them with dignity and respect. LPA interviewed 5 staff, which all have stated they treat residents with dignity and respect. Regarding Allegation #4, LPA interviewed 11 residents. 6 out of 11 residents informed LPA they do not use diapers. 2 out of 11 residents informed LPA they change their own diapers. 1 out of 11 residents informed LPA staff change their diaper in a timely manner. 1 out of 11 residents informed LPA staff do not change their diaper in a timely manner. 1 out of 11 residents was nonverbal and unable to answer whether or not they used diapers or if staff change in a timely manner. Based on observation, interviews, and pertinent documents the allegations are unsubstantiated. An Unsubstantiated complaint 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 with Executive Director Maritza Lujan and a copy of this report was provided at the conclusion of the visit.