complaint·June 2, 2021

Continued from 9099 - Page 2 Based on LPA's interview with Administrator and resident (R1), review of medical records, admission residence care plan resident transfer room form ; LPA's inte rview with R1 concluded that R1 is treated with dignity and respect. R1 appears to be sad that a move will transpire in the next several weeks. There is no evidence that resident has been humiliated. Therefore the allegation Resident is not free from humiliation is deemed UNFOUNDED. This agency has investigated the allegation noted above and have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or was without a reasonable basis. We have therefore, dismissed the complaint. An exit interview was conducted with Administrator and a copy of this report LIC 9099, LIC 858- Client Records, LIC 811- Confidential Names, and Appeal Rights was provided to the Administrator via email and an electronic email read receipt confirms receiving these documents. Administrator will send 9099 and 9099-C back via email signed to LPA Hurt.