Complaint·December 5, 2025

In addition, S1 and S3 indicated that R1 wanted his/her medication, however they had to keep explaining to R1 that the medication he/she was requesting for is prescribed to be given once every 8 hours, however they made sure that R1 was being checked on every 1-2 hours. Regarding the allegation, staff could not communicate with emergency personnel, according to the reporting party, on June 16, 2025, when emergency personnel arrived to the facility, they requested R1's paperwork, however the staff was Spanish speaking only and radioed another staff member. During the investigation, LPA interviewed staff who were on shift on June 16, 2025. According to Staff 1 (S1), when emergency personnel arrived, S1 admitted he/she had to call S3, the med-tech on shift because S1 speaks Spanish and very little English. In addition, according to 3/3 staff interviewed, although they do not speak a lot of English, they are able to communicate and understand basic English. Regarding the allegation, staff did not have access to residents emergency paperwork for emergency personnel, according to the reporting party, on June 16, 2025, when emergency personnel responded to the facility, they requested for R1's file, however after 10 minutes of waiting, a firefighter went to the staff to see where the file was and was told by staff that they were on the phone with someone (unknown) trying to figure out to to get R1's file. During the investigation, LPA interviewed staff on shift and observed the med-tech room where all resident files are located. Based on observations, LPA observed all resident files available and located in the med-tech office room. According to S3, he/she indicated that normally when staff call 911, the updated system papers are printed and ready for emergency personnel, however, the night of June 16, 2025, R1 called 911 without staff knowing and the papers were not ready so S3 had to go to the med-tech room and print R1's paperwork which took some time as the S3 indicated he/she was experiencing printer issues. According to S3, although it took time to print R1's paperwork, it was eventually printed and provided to emergency personnel. Based on interviews conducted and information collected, the department has determined that although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed with the Activities Director and a copy is provided.