Complaint·July 12, 2024

On 7/12/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with Executive Director Douglas Blake & Resident Care Coordinator Nelsaand explained the purpose of today's visit. Regarding the allegation of staff did not assist resident (R1) with toileting, Reporting Party (RP) stated that R1 called for staff to come help to the bathroom during the night and no one would come. Based on records review, the pendant or call buttons pressed by the R1 was all answered by staff. The log reviewed were from March 16 to June 26, 2024. It showed that all calls were answered by the staff. LPA also interviewed ED and Resident Care Coordinator and mentioned that the staff normally does 2-hour intervals for checking on residents. Response time for call buttons is between 2 to 8 minutes. Based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed and copy is provided.