complaint·September 12, 2025

Continued from LIC9099... LPAs conducted staff interviews. Interview with S1 denied the allegation that they leave residents unattended. S1 also stated that they complete their job duties and if a task was not completed, it would be relayed to the next shift to complete. S1 stated that they are to check residents every 2 hours or more frequently if the resident requires it. 8 of 12 staff interviews reported seeing an improvement of incontinence care or did not have concerns about resident incontinence care while 4 of 12 staff interviews reported concerns about how often residents were being changed. 10 of 12 staff interviews stated that they haven’t observed or seen S1 or other facility staff leaving the residents unattended while 3 of 12 interviews stated that they have seen or heard of facility staff leaving residents unattended but only 1 of 12 interviews identified S1. 4 of 12 staff interviews reported that certain job tasks such as taking out the garbage or doing the dishes were sometimes not completed while 1 of 12 interviews reported that there were multiple times that they came to work to find that beds were not made, residents not changed, and laundry was not completed. This interview revealed that while these issues did occur before, it was addressed by management and were no longer a concern. None of the interviews conducted identified S1 as being the staff member to not provide incontinence care to residents. 8 of 12 staff interviews reported that they had no concerns with job duties being completed from shift to shift. Interviews further revealed that if a job task was not completed during a shift, it would be relayed to the oncoming shift and it would be the oncoming shift’s responsibility to complete. Based on interviews conducted, these allegations are Unsubstantiated . A finding that the complaint allegation is Unsubstantiated means 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. Exit interview conducted. Copy of report discussed and provided to Executive Director. Signature on form confirms receipt of documents.