complaint·July 27, 2023

During a phone call on 10/17/2022 at 3:03pm LPA spoke with F1 related to a separate complaint, during this phone call F1 stated, “Administrator gave me permission to enter on the first floor.” and “staff has let me in the first floor exit or its left unlocked.” Based on interviews, and admission, the allegation of “Staff do not follow protocols to prevent the spread of COVID-19”. Is substantiated at this time. Report read, citation issued, appeal rights and report provided Continued on LIC9099-A As to the allegation of, “Facility is not kept clean and sanitary.” I was discovered through interviews, documentation, and observation that in interviews on 06/20/2022, with S1, 2, 3, and 4 that there were no issues or complaints about the cleanliness of the facility and no resident had complaint to S1-4 about facility cleanliness. Interviews of Residents 1-6 did not think that the facility had any issues with cleanliness, all 6 residents were happy with how clean the facility we kept. LPA conducted a physical tour of the entire facility on 06/20/2022, and on 10/21/2022, LPA conducted a second observational cursory tour of the facility, facility main kitchen, and memory care kitchenette and found the facility to be clean and sanitary on both observational tours. LPA reviewed staff schedule and found there to be sufficient kitchen and housekeeping staff during the months of June and July 2022. At this time there is not enough evidence to support the allegation of, “Facility is not kept clean and sanitary.” and is unsubstantiated at this time. Exit interview, report read, report singed, citation issued, report and appeal rights provided.