complaint·March 24, 2026

Generally, resident records were only removed for Department review, to make copies of documents for reporting purposes, or to update resident care charting. Staff stated that when resident records needed to be copied, they would be taken to the facility’s copy room. Staff denied any knowledge that resident records were ever left unattended in the facility’s copy room, however evidence collected during the investigation contradicted these claims. Interviews stated that the copy room is only accessible to facility staff, and LPA observations during on-site visits on 2/20/2026 and 3/24/2026 determined that the copy room could only be accessed through the CDR's office located behind the receptionist desk or via a locked door in a common hallway. Interviews with staff confirmed that the hallway door was locked and only accessible via a key and that all staff had a key to the copy room. The Department’s investigation did not reveal any evidence that resident records were left in areas commonly or easily accessible to residents, visitors, or any other individuals without the presence of facility staff. The Department has investigated the above-mentioned allegation and based on interviews and observation, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with CDR Yadi Moreno, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).