Complaint·September 10, 2025

*** This is an amended report *** LPA also interviewed residents. R2 mentioned that he/she has visitors sometimes and they do go out. No one has stopped any visitors from visiting him/her. Regarding the allegation of Residents are not accorded dignity and respect, RP stated that one resident complained that there were scheduled diaper changes so if someone had a wet or soiled diaper, they might have to wait more than an hour and half to be changed. According to ADM, there is no schedule to follow for change in diapers. The residents are checked every 4 hours and as needed. There was an instance where R1 doesn't want to get changed and the staff kept asking. An ombudsman arrived and talked to the resident and staff was able to change the diaper. ADM added that there are 2 residents who wear pull ups but are still able to go to the bathroom on their own. S2 also mentioned that they monitor the residents with regards to their diapers but sometimes they are the ones who doesn't want to get changed when they are having behaviors. They just wear it just in case of accidents, but all residents are able to go to the bathroom by themselves. For the allegation of Residents are not allowed to use the telephone and Staff isolated resident, RP stated that a day program attempted to contact a resident with home activities. ADM refused to give them the phone number to the house and insisted that all communication happen through her on her cell phone. According to the Day program they called the ADM and left messages. LPA interviewed the ADM and it was stated that they can call anytime and that the phone number for the facility is posted in the transparency website. ADM did not isolate any resident. Residents are able to receive phone calls. S2 also added that no one has called the facility to talk to the residents during this time. And if so, they give the phone to the resident. Other case workers and social workers also call the facility phone number. page 2 of 3 *** This is an amended report *** Residents also mentioned that they are able to talk to their family members. LPA observed during one of the facility visits that the phone was handed to a resident when a family member called. Regarding the allegation of Residents are not allowed medical services from outside vendors, RP stated that ADM was banning a medical provider from seeing his/her client at Early Horizons. LPA interviewed a third party provider (W1) and was stated that About 6 months ago, ADM blocked medical provider from providing care to one of the clients; stating that they were rude and disrespectful and not allowed in her facility. During ADMs interview, she stated that there was no health care provider being banned from seeing their clients. One of the residents (R3) needs constant reminder with appointments as sometimes residents forget. The residents doctors, social workers and managers are still the same from when ADM took over. There was an incident that happened where one of the case workers that came was shouting at R3. ADM told the case worker to lower his/her voice since there are other residents in the facility. The case worker was told to not to be disrespectful otherwise leave the facility. S2 confirmed that the case worker was shouting at the resident. Another witness (W2) mentioned that the case worker was indeed shouting at the resident. Based on interviews, records review and observations, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited today. Report is reviewed and copy is provided. page 3 of 3