complaint·February 5, 2025

On 02/05/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver the findings regarding the recieved allegations. LPA met with executive director Rachel Brown and explained the purpose of today's visit. During the course of the investigation interviews were conducted, observations were made, and documents were received. Call logs show a pattern of responsiveness that were best met by time and staff on hand to be resonable depending on the service needed. Medication records observed and interviews show that all prescribed medications were given as prescribed and directed, this would include the changing of the resident's urine bag. When alerted staff would respond based on the demand of staffing and business of the facility. Staff are not informed of the type of service needed when called upon but do respond based on the records reviewed. The resident did not have one on one caregiving. All services were met by the facility to the best of their abilities at the time. These allegations are unsubstantiated based on the totality of observations made and investigation conducted. Based on these observations, the above allegations are UNSUBSTANTIATED. 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 above allegations are unsubstantiated at this time. Report is reviewed with Rachel Brown and a copy is provided on this day.