Complaint·July 8, 2025

On July 8, 2025, LPA Manuel Monter interviewed Staff S5-S6. Both staff interviewed stated they have completed their 40 hours of initial training. LPA interviewed Health Services Director (HSD). HSD stated the facility staff are provided their required training. The Department randomly reviewed 6 staff members training records. All training records reviewed are complete. No discrepancies noted. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis. Hazardous items are accessible to residents in care. On June 17, 2025, the Department received a complaint alleging Hazardous items are accessible to residents in care. On June 23, 2025, LPA Monter interviewed staff S1-S4. All staff interviewed stated they have not seen any detergents, bleaches or other potentially harmful materials accessible to residents in care. LPA interviewed Regional Operations Specialist (ROS), Jessica Pryor. ROS stated the facility doesn’t have toxics/detergents or other dangerous items accessible to residents in care. Licensing Program Analyst Manuel Monter toured the facility during the complaint investigation. LPA toured the following areas: dining area, activity area and hallways. LPA toured all residents’ bedrooms that were currently in use. This included the following bedrooms: 229, 233, 237, 238, 214, 220, 222, 226, 228, 225, 218, 217, 215, 213, 203, 201, 202, 234, 232. LPA did not observe any toxics, detergents or other potentially harmful materials accessible to residents in care. On July 8, 2025, LPA Manuel Monter interviewed Staff S5-S6. Both staff interviewed stated they have not observed dangerous or toxic items accessible to residents in care. LPA interviewed Health Services Director (HSD). HSD stated the facility staff ensure toxic materials LPA's interviewed residents R1-R7. Residents R1-R6 stated they have not observed any toxic materials, detergents, or bleach accessible to residents in care. Resident R7 was unable to provide response to questions LPA's posed. Licensing Program Analyst Manuel Monter toured the facility during the complaint investigation. LPA Monter and Tarin toured the facility common areas and resident bedrooms. LPAs did not observe any toxic materials, detergents or bleach accessible to residents in care. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED , meaning that the allegations were false, could not have happened and/or are without a reasonable basis. On July 8, 2025, LPA Manuel Monter interviewed Staff S5-S6. Both staff interviewed stated they know when a resident needs assistance with eating. Both staff interviewed stated staff will assist residents with eating. Both staff interviewed stated they have not observed facility staff not assist a resident who needed assistance with eating. LPA interviewed Health Services Director (HSD). HSD staff know to assist residents who need assistance with feeding. HSD stated staff will assist residents who haven't eaten their food and help guide them with eating. HSD stated facility staff do not neglect residents who need assistance with feeding. LPA's interviewed residents R1-R7. Residents R1-R6 stated they do not need assistance with eating and have no issues. R1-R6 stated staff will provide assistance if they ask. Resident R7 was unable to provide response to questions LPA's posed. Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegations are UNSUBSTANTIATED . An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur. Page 2 Out of 2.