complaint·April 25, 2023

Interviews revealed that some residents had instances of not wanting to shower and staff would attempt to redirect residents by talking to them. Interviews did not reveal any concerns regarding staff treating residents roughly during showers. Interviews revealed that staff attempt to accommodate residents’ preferences regarding meal times, types of meals prepared and showering times. Interviews did not reveal any issues or concerns with the staff treating residents without dignity. Interviews and records review revealed that the Licensee set visiting hours for the facility from about 8:00am to 3:00pm. Interviews revealed that the Licensee requested that visitors leave the facility around 3:00pm because there was not enough staff to manage visitation. Interviews and record review revealed that there are two staff scheduled for the AM shift, which is from 6:30am to 12:00pm and one staff scheduled for the PM shift, which is from 12:00pm to 4:00pm. Interviews and records review revealed that the Licensee lived at the facility and was the only staff responsible for care and supervision for residents from 4:00pm to 6:30am every day. Interviews revealed that visitors were able to visit with residents and most residents had daily or weekly visitors. Interviews did not reveal any issues with visitors being unable to visit the facility. Interviews did confirm that the Licensee asked visitors to visit the facility prior to 3:00pm. Interviews revealed that the Licensee stated that she would make exceptions for visitors who were unable to visit prior to 3:00pm, but would still ask that visitors refrain from visiting past 4:00pm. The Department has investigated the above-mentioned allegations and based on interviews and records review, the preponderance of the evidence has not been met, therefore, these allegations are deemed unsubstantiated. An exit interview was conducted with Licensee Teresita "Roxie" Roxas, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided via hard copy.