complaint·September 19, 2025

Licensing Program Manager (LPM) Liza King arrived unannounced to conduct a complaint investigation. LPM met with Nicole Ell and explained the purpose of the visit.A tour of the facility was taken, 3 months of activities calenders were provided. LPM observed 2 seperate art projects that were drying on the table. The facility has a contracted Activity consultant that provides services every other week with the clients. Invoices for the consultant were provided. LPM observed, one residents room with various arts and crafts, during the visit one resident was was on an outing. Interview was conducted with one staff member and the Adminitrator. During interview resident access to funds was discussed. One resident has a card that is held on the person and able to mange own funds. LPM reviewed P&I cash and receipts, no issues observed. The Admin and ast Admin have a key to the cash and provide direction to the staff on where the key can be accesed. Based on observations, interview and document review the preponderance of evidence standards have not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided.