complaint·June 27, 2025

Continued from LIC9099 Per interviews, some residents have waited 5-6 minutes to be let into the building after hours and it was reported that sometimes the call goes to voicemail. Review of the minutes from the March 2025 Family Council shows that this situation has been discussed. Interviews with two family members and six residents revealed that of of the individuals who return to the building after 5:30pm, there are no known issues. One resident who was identified as frequently coming in and out of the building is provided a key. Two of six resident indicated they have visitors after 5:30pm but those visitors have not stated they have had difficulty accessing the building. Interview with Administrator revealed that they have not received any complaints about the doors being closed at 5:30 for multiple months and provided a copy of the most recent Resident Council Meeting. Although the allegations Staff do not ensure that residents are able to come and go from the facility freely and Staff are limiting residents visits may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies cited.